34D2143575 CLIA NUMBER - CASWELL COUNTY HEALTH DEPARTMENT

Laboratory Demographics

CLIA Number: 34D2143575

Facility Name: CASWELL COUNTY HEALTH DEPARTMENT

Facility Address:
189 COUNTY PARK ROAD
YANCEYVILLE, NC
ZIP 27379
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Facility Phone Number: 336 694-4129

Facility Type: Other - PUBLIC HEALTH CLINIC

Certificate Type: Microscopy

NPI Number: 1518518901

Taxonomy: 261QP0905X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 34D2143575
LAB Type Other - PUBLIC HEALTH CLINIC
Facility Name CASWELL COUNTY HEALTH DEPARTMENT
Street 189 COUNTY PARK ROAD
City YANCEYVILLE
State NC
ZIP 27379
Phone 336 694-4129
CertificateType 3
CertificateEffectiveDate 2/1/2024
CertificateExpirationDate 1/31/2026
FacilityType PPMP

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