34D0242518 CLIA NUMBER - COLUMBIA MEDICAL CENTER

Laboratory Demographics

CLIA Number: 34D0242518

Facility Name: COLUMBIA MEDICAL CENTER

Facility Address:
208 N BROAD ST
COLUMBIA, NC
ZIP 27925
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Facility Phone Number: 252 796-0689

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1629365341

Taxonomy: 111N00000X - Chiropractor
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

CLIA Record

Field Name	Field Value
CLIA Number	34D0242518
LAB Type	Community Clinic
Facility Name	COLUMBIA MEDICAL CENTER
Street	208 N BROAD ST
City	COLUMBIA
State	NC
ZIP	27925
Phone	252 796-0689
CertificateType	4
CertificateEffectiveDate	3/17/2023
CertificateExpirationDate	3/16/2025
FacilityType	Waiver

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