34D1103386 CLIA NUMBER - LIFEBRITE FAMILY MEDICAL OF DANBURY

Laboratory Demographics

CLIA Number: 34D1103386

Facility Name: LIFEBRITE FAMILY MEDICAL OF DANBURY

Facility Address:
1570 NC 8 & 89 HIGHWAY NORTH
DANBURY, NC
ZIP 27016
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Facility Phone Number: 336 593-8281

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1609319490

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	34D1103386
LAB Type	Physician Office
Facility Name	LIFEBRITE FAMILY MEDICAL OF DANBURY
Street	1570 NC 8 & 89 HIGHWAY NORTH
City	DANBURY
State	NC
ZIP	27016
Phone	336 593-8281
CertificateType	4
CertificateEffectiveDate	8/12/2023
CertificateExpirationDate	8/11/2025
FacilityType	Waiver

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