48D2223021 CLIA NUMBER - CORA L E CHRISTIAN MD MPH

Laboratory Demographics

CLIA Number: 48D2223021

Facility Name: CORA L E CHRISTIAN MD MPH

Facility Address:
40 EG LA GRANGE
FREDERIKSTED, VI
ZIP 00841
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Facility Phone Number: 340 772-3665

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1760447718

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	48D2223021
LAB Type	Practitioner Other
Facility Name	CORA L E CHRISTIAN MD MPH
Street	40 EG LA GRANGE
City	FREDERIKSTED
State	VI
ZIP	00841
Phone	340 772-3665
CertificateType	4
CertificateEffectiveDate	5/4/2023
CertificateExpirationDate	5/3/2025
FacilityType	Waiver

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