34D0669846 CLIA NUMBER - DIALYSIS CARE OF MOORE COUNTY

Laboratory Demographics

CLIA Number: 34D0669846

Facility Name: DIALYSIS CARE OF MOORE COUNTY

Facility Address:
# 16 REGIONAL DRIVE
PINEHURST, NC
ZIP 28374
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Facility Phone Number: 919 295-2124

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1881653335

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	34D0669846
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	DIALYSIS CARE OF MOORE COUNTY
Street	# 16 REGIONAL DRIVE
City	PINEHURST
State	NC
ZIP	28374
Phone	919 295-2124
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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