34D1048058 CLIA NUMBER - GRACE WOMEN'S CLINIC

Laboratory Demographics

CLIA Number: 34D1048058

Facility Name: GRACE WOMEN'S CLINIC

Facility Address:
2280 S CHURCH STE 201
BURLINGTON, NC
ZIP 27215
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Facility Phone Number: 336 538-2014

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1871786673

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	34D1048058
LAB Type	Physician Office
Facility Name	GRACE WOMEN'S CLINIC
Street	2280 S CHURCH STE 201
City	BURLINGTON
State	NC
ZIP	27215
Phone	336 538-2014
CertificateType	4
CertificateEffectiveDate	11/21/2023
CertificateExpirationDate	11/20/2025
FacilityType	Waiver

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