45D2171062 CLIA NUMBER - BUFFALO FAMILY PRACTICE

Laboratory Demographics

CLIA Number: 45D2171062

Facility Name: BUFFALO FAMILY PRACTICE

Facility Address:
1686 HWY 79 WEST
BUFFALO, TX
ZIP 75831
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Facility Phone Number: 903 322-1290

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1548816721

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	45D2171062
LAB Type	Physician Office
Facility Name	BUFFALO FAMILY PRACTICE
Street	1686 HWY 79 WEST
City	BUFFALO
State	TX
ZIP	75831
Phone	903 322-1290
CertificateType	3
CertificateEffectiveDate	8/26/2023
CertificateExpirationDate	8/25/2025
FacilityType	PPMP

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