34D0946020 CLIA NUMBER - UNION EMS CAROLINAS UNION HEALTHCARE INC DBA

Laboratory Demographics

CLIA Number: 34D0946020

Facility Name: UNION EMS CAROLINAS UNION HEALTHCARE INC DBA

Facility Address:
600 HOSPITAL DR
MONROE, NC
ZIP 28112
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Facility Phone Number: 704 226-2001

Facility Type: Mobile Laboratory

Certificate Type: Waiver

NPI Number: 1104913326

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	34D0946020
LAB Type	Mobile Laboratory
Facility Name	UNION EMS CAROLINAS UNION HEALTHCARE INC DBA
Street	600 HOSPITAL DR
City	MONROE
State	NC
ZIP	28112
Phone	704 226-2001
CertificateType	4
CertificateEffectiveDate	5/15/2024
CertificateExpirationDate	5/14/2026
FacilityType	Waiver

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