45D2095216 CLIA NUMBER - PHYSICIANS PREMIER ER PARKDALE

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Laboratory Demographics

CLIA Number: 45D2095216

Facility Name: PHYSICIANS PREMIER ER PARKDALE

Facility Address:
4141 S STAPLES STREET, SUITE 106
CORPUS CHRISTI, TX
ZIP 78411
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Facility Phone Number: 832 725-5717

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1437400058

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	45D2095216
LAB Type	Physician Office
Facility Name	PHYSICIANS PREMIER ER PARKDALE
Street	4141 S STAPLES STREET, SUITE 106
City	CORPUS CHRISTI
State	TX
ZIP	78411
Phone	832 725-5717
CertificateType	1
CertificateEffectiveDate	5/25/2022
CertificateExpirationDate	5/24/2024
FacilityType	Accreditation

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