49D0908017 CLIA NUMBER - GAINESVILLE FAMILY PRACTICE, PC

Laboratory Demographics

CLIA Number: 49D0908017

Facility Name: GAINESVILLE FAMILY PRACTICE, PC

Facility Address:
7915 LAKE MANASSAS DRIVE, SUITE 102
GAINESVILLE, VA
ZIP 20155
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Facility Phone Number: 703 754-4101

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1871589770

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	49D0908017
LAB Type	Physician Office
Facility Name	GAINESVILLE FAMILY PRACTICE, PC
Street	7915 LAKE MANASSAS DRIVE, SUITE 102
City	GAINESVILLE
State	VA
ZIP	20155
Phone	703 754-4101
CertificateType	4
CertificateEffectiveDate	1/1/2024
CertificateExpirationDate	12/31/2025
FacilityType	Waiver

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