34D1024515 CLIA NUMBER - ALEXANDER INTERNAL MEDICINE, PA

Laboratory Demographics

CLIA Number: 34D1024515

Facility Name: ALEXANDER INTERNAL MEDICINE, PA

Facility Address:
1300 LEXINGTON AVENUE
THOMASVILLE, NC
ZIP 27360
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Facility Phone Number: 336 475-9556

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1639359151

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	34D1024515
LAB Type	Physician Office
Facility Name	ALEXANDER INTERNAL MEDICINE, PA
Street	1300 LEXINGTON AVENUE
City	THOMASVILLE
State	NC
ZIP	27360
Phone	336 475-9556
CertificateType	4
CertificateEffectiveDate	4/14/2024
CertificateExpirationDate	4/13/2026
FacilityType	Waiver

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