34D2097700 CLIA NUMBER - MISSION HEALTH MAUZY - PHILLIPS CENTER

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Laboratory Demographics

CLIA Number: 34D2097700

Facility Name: MISSION HEALTH MAUZY - PHILLIPS CENTER

Facility Address:
189 HOSPITAL DRIVE
SPRUCE PINE, NC
ZIP 28777
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Facility Phone Number: 828 766-3052

Facility Type: Rural Health Clinic

Certificate Type: Microscopy

NPI Number: 1790760213

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	34D2097700
LAB Type	Rural Health Clinic
Facility Name	MISSION HEALTH MAUZY - PHILLIPS CENTER
Street	189 HOSPITAL DRIVE
City	SPRUCE PINE
State	NC
ZIP	28777
Phone	828 766-3052
CertificateType	3
CertificateEffectiveDate	6/23/2023
CertificateExpirationDate	6/22/2025
FacilityType	PPMP

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