45D2014961 CLIA NUMBER - EDDY FURNISS MD PA

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Laboratory Demographics

CLIA Number: 45D2014961

Facility Name: EDDY FURNISS MD PA

Facility Address:
4800 NE STALLINGS DR STE 109
NACOGDOCHES, TX
ZIP 75965
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Facility Phone Number: 936 559-0700

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1750608832

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	45D2014961
LAB Type	Physician Office
Facility Name	EDDY FURNISS MD PA
Street	4800 NE STALLINGS DR STE 109
City	NACOGDOCHES
State	TX
ZIP	75965
Phone	936 559-0700
CertificateType	3
CertificateEffectiveDate	10/19/2022
CertificateExpirationDate	10/18/2024
FacilityType	PPMP

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This page was last updated on: 4/23/2024