45D2067375 CLIA NUMBER - GOH MEDICAL, PA

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Laboratory Demographics

CLIA Number: 45D2067375

Facility Name: GOH MEDICAL, PA

Facility Address:
12810 HILLCREST RD SUITE B223
DALLAS, TX
ZIP 75230
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Facility Phone Number: 972 292-7158

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1619254273

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	45D2067375
LAB Type	Physician Office
Facility Name	GOH MEDICAL, PA
Street	12810 HILLCREST RD SUITE B223
City	DALLAS
State	TX
ZIP	75230
Phone	972 292-7158
CertificateType	4
CertificateEffectiveDate	10/15/2023
CertificateExpirationDate	10/14/2025
FacilityType	Waiver

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