34D0903839 CLIA NUMBER - GARNER INTERNAL MEDICINE PA

Laboratory Demographics

CLIA Number: 34D0903839

Facility Name: GARNER INTERNAL MEDICINE PA

Facility Address:
200 HEALTH PARK DR STE 100
GARNER, NC
ZIP 27529
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Facility Phone Number: 919 773-1223

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1679694665

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	34D0903839
LAB Type	Physician Office
Facility Name	GARNER INTERNAL MEDICINE PA
Street	200 HEALTH PARK DR STE 100
City	GARNER
State	NC
ZIP	27529
Phone	919 773-1223
CertificateType	3
CertificateEffectiveDate	7/31/2023
CertificateExpirationDate	7/30/2025
FacilityType	PPMP

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