11D2082378 CLIA NUMBER - WALTON EMC CAREHERE HEALTH CENTER

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Laboratory Demographics

CLIA Number: 11D2082378

Facility Name: WALTON EMC CAREHERE HEALTH CENTER

Facility Address:
501 MT VERNON ROAD
MONROE, GA
ZIP 30655
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Facility Phone Number: 770 267-2511

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1306511381

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	11D2082378
LAB Type	Physician Office
Facility Name	WALTON EMC CAREHERE HEALTH CENTER
Street	501 MT VERNON ROAD
City	MONROE
State	GA
ZIP	30655
Phone	770 267-2511
CertificateType	3
CertificateEffectiveDate	11/8/2022
CertificateExpirationDate	11/7/2024
FacilityType	PPMP

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