46D0865203 CLIA NUMBER - COTTONTREE FAMILY PRACTICE

Laboratory Demographics

CLIA Number: 46D0865203

Facility Name: COTTONTREE FAMILY PRACTICE

Facility Address:
2230 N UNIVERSITY PKWY #1A
PROVO, UT
ZIP 84604
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Facility Phone Number: 801 377-3413

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1407036189

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	46D0865203
LAB Type	Physician Office
Facility Name	COTTONTREE FAMILY PRACTICE
Street	2230 N UNIVERSITY PKWY #1A
City	PROVO
State	UT
ZIP	84604
Phone	801 377-3413
CertificateType	2
CertificateEffectiveDate	8/29/2022
CertificateExpirationDate	8/28/2024
FacilityType	Compliance

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