34D0883037 CLIA NUMBER - SURRY COUNTY EMERGENCY SERVICES

Laboratory Demographics

CLIA Number: 34D0883037

Facility Name: SURRY COUNTY EMERGENCY SERVICES

Facility Address:
1218 STATE STREET SUITE 500
MT AIRY, NC
ZIP 27030
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Facility Phone Number: 910 789-5086

Facility Type: Mobile Laboratory

Certificate Type: Waiver

NPI Number: 1316221633

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name Field Value
CLIA Number 34D0883037
LAB Type Mobile Laboratory
Facility Name SURRY COUNTY EMERGENCY SERVICES
Street 1218 STATE STREET SUITE 500
City MT AIRY
State NC
ZIP 27030
Phone 910 789-5086
CertificateType 4
CertificateEffectiveDate 2/22/2024
CertificateExpirationDate 2/21/2026
FacilityType Waiver

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