34D0909892 CLIA NUMBER - CHARLES DREW COMMUNITY HEALTH CENTER

Laboratory Demographics

CLIA Number: 34D0909892

Facility Name: CHARLES DREW COMMUNITY HEALTH CENTER

Facility Address:
221 N GRAHAM-HOPEDALE RD
BURLINGTON, NC
ZIP 27217
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Facility Phone Number: 336 570-3739

Facility Type: Community Clinic

Certificate Type: Microscopy

NPI Number: 1588768527

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	34D0909892
LAB Type	Community Clinic
Facility Name	CHARLES DREW COMMUNITY HEALTH CENTER
Street	221 N GRAHAM-HOPEDALE RD
City	BURLINGTON
State	NC
ZIP	27217
Phone	336 570-3739
CertificateType	3
CertificateEffectiveDate	12/20/2023
CertificateExpirationDate	12/19/2025
FacilityType	PPMP

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