45D2068318 CLIA NUMBER - WELL LIFE FAMILY MEDICINE, P A

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Laboratory Demographics

CLIA Number: 45D2068318

Facility Name: WELL LIFE FAMILY MEDICINE, P A

Facility Address:
11 MEDICAL DRIVE
AMARILLO, TX
ZIP 79106
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Facility Phone Number: 806 355-9355

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1245675081

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	45D2068318
LAB Type	Physician Office
Facility Name	WELL LIFE FAMILY MEDICINE, P A
Street	11 MEDICAL DRIVE
City	AMARILLO
State	TX
ZIP	79106
Phone	806 355-9355
CertificateType	3
CertificateEffectiveDate	11/1/2023
CertificateExpirationDate	10/31/2025
FacilityType	PPMP

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