34D2119151 CLIA NUMBER - FAMILY SERVICE OF THE PIEDMONT

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Laboratory Demographics

CLIA Number: 34D2119151

Facility Name: FAMILY SERVICE OF THE PIEDMONT

Facility Address:
1401 LONG STREET
HIGH POINT, NC
ZIP 27262
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Facility Phone Number: 336 889-6161

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1730374703

Taxonomy: 101YM0800X - Counselor

CLIA Record

Field Name	Field Value
CLIA Number	34D2119151
LAB Type	Pharmacy
Facility Name	FAMILY SERVICE OF THE PIEDMONT
Street	1401 LONG STREET
City	HIGH POINT
State	NC
ZIP	27262
Phone	336 889-6161
CertificateType	4
CertificateEffectiveDate	9/20/2022
CertificateExpirationDate	9/19/2024
FacilityType	Waiver

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