34D1048047 CLIA NUMBER - KINTEGRA FAMILY MEDICINE BESSEMER

Laboratory Demographics

CLIA Number: 34D1048047

Facility Name: KINTEGRA FAMILY MEDICINE BESSEMER

Facility Address:
119 W PENNSYLVANIA AVE
BESSEMER CITY, NC
ZIP 28016
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Facility Phone Number: 704 629-0482

Facility Type: Rural Health Clinic

Certificate Type: Waiver

NPI Number: 1710549118

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	34D1048047
LAB Type	Rural Health Clinic
Facility Name	KINTEGRA FAMILY MEDICINE BESSEMER
Street	119 W PENNSYLVANIA AVE
City	BESSEMER CITY
State	NC
ZIP	28016
Phone	704 629-0482
CertificateType	4
CertificateEffectiveDate	12/13/2022
CertificateExpirationDate	12/12/2024
FacilityType	Waiver

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