34D0677373 CLIA NUMBER - SCOTLAND PRIMARY CARE CLINIC

Laboratory Demographics

CLIA Number: 34D0677373

Facility Name: SCOTLAND PRIMARY CARE CLINIC

Facility Address:
805 SOUTH MAIN STREET
LAURINBURG, NC
ZIP 28352
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Facility Phone Number: 910 506-4679

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1770872228

Taxonomy: 363LA2200X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	34D0677373
LAB Type	Physician Office
Facility Name	SCOTLAND PRIMARY CARE CLINIC
Street	805 SOUTH MAIN STREET
City	LAURINBURG
State	NC
ZIP	28352
Phone	910 506-4679
CertificateType	3
CertificateEffectiveDate	2/1/2024
CertificateExpirationDate	1/31/2026
FacilityType	PPMP

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