34D1011422 CLIA NUMBER - GOSHEN MEDICAL CENTER - GARLAND

Laboratory Demographics

CLIA Number: 34D1011422

Facility Name: GOSHEN MEDICAL CENTER - GARLAND

Facility Address:
105 S LISBON AVENUE
GARLAND, NC
ZIP 28441
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Facility Phone Number: 910 529-1827

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1912170002

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	34D1011422
LAB Type	Physician Office
Facility Name	GOSHEN MEDICAL CENTER - GARLAND
Street	105 S LISBON AVENUE
City	GARLAND
State	NC
ZIP	28441
Phone	910 529-1827
CertificateType	3
CertificateEffectiveDate	9/26/2022
CertificateExpirationDate	9/25/2024
FacilityType	PPMP

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