34D0974214 CLIA NUMBER - CHEROKEE DIABETES PROGRAM

Laboratory Demographics

CLIA Number: 34D0974214

Facility Name: CHEROKEE DIABETES PROGRAM

Facility Address:
1 HOSPITAL ROAD
CHEROKEE, NC
ZIP 28719
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Facility Phone Number: 828 497-9163

Facility Type: Other

Certificate Type: Microscopy

NPI Number: 1124394978

Taxonomy: 261QH0100X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 34D0974214
LAB Type Other
Facility Name CHEROKEE DIABETES PROGRAM
Street 1 HOSPITAL ROAD
City CHEROKEE
State NC
ZIP 28719
Phone 828 497-9163
CertificateType 3
CertificateEffectiveDate 6/1/2022
CertificateExpirationDate 5/31/2024
FacilityType PPMP

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