34D0693247 CLIA NUMBER - HUDSON PRIMARY CARE PA

Laboratory Demographics

CLIA Number: 34D0693247

Facility Name: HUDSON PRIMARY CARE PA

Facility Address:
109 FAIRWAY SHOPPING CENTER
HUDSON, NC
ZIP 28638
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Facility Phone Number: 828 728-0900

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1205923364

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	34D0693247
LAB Type	Physician Office
Facility Name	HUDSON PRIMARY CARE PA
Street	109 FAIRWAY SHOPPING CENTER
City	HUDSON
State	NC
ZIP	28638
Phone	828 728-0900
CertificateType	4
CertificateEffectiveDate	4/8/2024
CertificateExpirationDate	4/7/2026
FacilityType	Waiver

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