34D2159352 CLIA NUMBER - HICKORY METRO TREATMENT CENTER

Laboratory Demographics

CLIA Number: 34D2159352

Facility Name: HICKORY METRO TREATMENT CENTER

Facility Address:
1152 LENOIR RHYNE BOULEVARD SE
HICKORY, NC
ZIP 28601
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Facility Phone Number: 828 485-1320

Facility Type: Other - 6

Certificate Type: Waiver

NPI Number: 1164863809

Taxonomy: 261QM2800X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

CLIA Record

Field Name	Field Value
CLIA Number	34D2159352
LAB Type	Other - 6
Facility Name	HICKORY METRO TREATMENT CENTER
Street	1152 LENOIR RHYNE BOULEVARD SE
City	HICKORY
State	NC
ZIP	28601
Phone	828 485-1320
CertificateType	4
CertificateEffectiveDate	12/18/2022
CertificateExpirationDate	12/17/2024
FacilityType	Waiver

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