34D2067069 CLIA NUMBER - NC HEALTH CARE SERVICES, PC - SALISBURY

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Laboratory Demographics

CLIA Number: 34D2067069

Facility Name: NC HEALTH CARE SERVICES, PC - SALISBURY

Facility Address:
1361 KLUMAC RD
SALISBURY, NC
ZIP 28147
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Facility Phone Number: 704 603-1175

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1790115384

Taxonomy: 332900000X - Non-Pharmacy Dispensing Site
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

CLIA Record

Field Name	Field Value
CLIA Number	34D2067069
LAB Type	Physician Office
Facility Name	NC HEALTH CARE SERVICES, PC - SALISBURY
Street	1361 KLUMAC RD
City	SALISBURY
State	NC
ZIP	28147
Phone	704 603-1175
CertificateType	4
CertificateEffectiveDate	10/8/2023
CertificateExpirationDate	10/7/2025
FacilityType	Waiver

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