34D0982614 CLIA NUMBER - KINGS CLINIC AND URGENT CARE, PLLC

Laboratory Demographics

CLIA Number: 34D0982614

Facility Name: KINGS CLINIC AND URGENT CARE, PLLC

Facility Address:
407 W KING STREET
KINGS MOUNTAIN, NC
ZIP 28086
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Facility Phone Number: 704 730-8461

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1194875765

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	34D0982614
LAB Type	Physician Office
Facility Name	KINGS CLINIC AND URGENT CARE, PLLC
Street	407 W KING STREET
City	KINGS MOUNTAIN
State	NC
ZIP	28086
Phone	704 730-8461
CertificateType	4
CertificateEffectiveDate	8/19/2022
CertificateExpirationDate	8/18/2024
FacilityType	Waiver

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