34D1069905 CLIA NUMBER - MED ONE CARE

Laboratory Demographics

CLIA Number: 34D1069905

Facility Name: MED ONE CARE

Facility Address:
413 OWEN DRIVE SUITE 202 2ND FLOOR
FAYETTEVILLE, NC
ZIP 28304
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Facility Phone Number: 910 323-3183

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1093919409

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	34D1069905
LAB Type	Physician Office
Facility Name	MED ONE CARE
Street	413 OWEN DRIVE SUITE 202 2ND FLOOR
City	FAYETTEVILLE
State	NC
ZIP	28304
Phone	910 323-3183
CertificateType	3
CertificateEffectiveDate	7/15/2023
CertificateExpirationDate	7/14/2025
FacilityType	PPMP

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