34D0926765 CLIA NUMBER - JOHNSTON COUNTY EMS

Laboratory Demographics

CLIA Number: 34D0926765

Facility Name: JOHNSTON COUNTY EMS

Facility Address:
120 S THIRD STREET
SMITHFIELD, NC
ZIP 27577
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Facility Phone Number: 919 989-5050

Facility Type: Mobile Laboratory

Certificate Type: Waiver

NPI Number: 1114193844

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name Field Value
CLIA Number 34D0926765
LAB Type Mobile Laboratory
Facility Name JOHNSTON COUNTY EMS
Street 120 S THIRD STREET
City SMITHFIELD
State NC
ZIP 27577
Phone 919 989-5050
CertificateType 4
CertificateEffectiveDate 4/1/2023
CertificateExpirationDate 3/31/2025
FacilityType Waiver

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