45D2172014 CLIA NUMBER - MEDSTAR FAMILY CARE

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Laboratory Demographics

CLIA Number: 45D2172014

Facility Name: MEDSTAR FAMILY CARE

Facility Address:
2410 EAST ELDORADO PKWY SUITE 500
LITTLE ELM, TX
ZIP 75068
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Facility Phone Number: 972 442-4700

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1740768142

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	45D2172014
LAB Type	Physician Office
Facility Name	MEDSTAR FAMILY CARE
Street	2410 EAST ELDORADO PKWY SUITE 500
City	LITTLE ELM
State	TX
ZIP	75068
Phone	972 442-4700
CertificateType	4
CertificateEffectiveDate	9/12/2023
CertificateExpirationDate	9/11/2025
FacilityType	Waiver

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