34D2112919 CLIA NUMBER - SAMPSON COUNTY HOME TRAINING

Laboratory Demographics

CLIA Number: 34D2112919

Facility Name: SAMPSON COUNTY HOME TRAINING

Facility Address:
331 NORTH BOULEVARD
CLINTON, NC
ZIP 28328
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Facility Phone Number: 910 590-2777

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1962860288

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 34D2112919
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SAMPSON COUNTY HOME TRAINING
Street 331 NORTH BOULEVARD
City CLINTON
State NC
ZIP 28328
Phone 910 590-2777
CertificateType 4
CertificateEffectiveDate 5/11/2024
CertificateExpirationDate 5/10/2026
FacilityType Waiver

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