34D0672047 CLIA NUMBER - LINCOLN PEDIATRICS CLINIC, PA

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Laboratory Demographics

CLIA Number: 34D0672047

Facility Name: LINCOLN PEDIATRICS CLINIC, PA

Facility Address:
113 DOCTORS PARK
LINCOLNTON, NC
ZIP 28092
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Facility Phone Number: 704 735-1441

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1477510659

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	34D0672047
LAB Type	Physician Office
Facility Name	LINCOLN PEDIATRICS CLINIC, PA
Street	113 DOCTORS PARK
City	LINCOLNTON
State	NC
ZIP	28092
Phone	704 735-1441
CertificateType	4
CertificateEffectiveDate	7/12/2023
CertificateExpirationDate	7/11/2025
FacilityType	Waiver

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