49D0977385 CLIA NUMBER - FAMILY MEDICINE CENTER

Laboratory Demographics

CLIA Number: 49D0977385

Facility Name: FAMILY MEDICINE CENTER

Facility Address:
1201 LAKE JAMES DRIVE - SUITE 200
VIRGINIA BEACH, VA
ZIP 23464
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Facility Phone Number: 757 523-0022

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1750571303

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	49D0977385
LAB Type	Physician Office
Facility Name	FAMILY MEDICINE CENTER
Street	1201 LAKE JAMES DRIVE - SUITE 200
City	VIRGINIA BEACH
State	VA
ZIP	23464
Phone	757 523-0022
CertificateType	4
CertificateEffectiveDate	8/25/2022
CertificateExpirationDate	8/24/2024
FacilityType	Waiver

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