34D0876159 CLIA NUMBER - UNC HEALTH FAMILY MEDICINE AT FAIRMONT

Laboratory Demographics

CLIA Number: 34D0876159

Facility Name: UNC HEALTH FAMILY MEDICINE AT FAIRMONT

Facility Address:
101 NORTH WALNUT STREET
FAIRMONT, NC
ZIP 28340
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Facility Phone Number: 910 628-0655

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1952301079

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	34D0876159
LAB Type	Physician Office
Facility Name	UNC HEALTH FAMILY MEDICINE AT FAIRMONT
Street	101 NORTH WALNUT STREET
City	FAIRMONT
State	NC
ZIP	28340
Phone	910 628-0655
CertificateType	3
CertificateEffectiveDate	11/4/2023
CertificateExpirationDate	11/3/2025
FacilityType	PPMP

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