34D2161718 CLIA NUMBER - METHODIST UNIVERSITY HEALTH CENTER

Laboratory Demographics

CLIA Number: 34D2161718

Facility Name: METHODIST UNIVERSITY HEALTH CENTER

Facility Address:
5400 RAMSEY STREET
FAYETTEVILLE, NC
ZIP 28311
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Facility Phone Number: 910 630-7164

Facility Type: School/Student Health Service

Certificate Type: Waiver

NPI Number: 1962809269

Taxonomy: 363AM0700X - Physician Assistant

CLIA Record

Field Name Field Value
CLIA Number 34D2161718
LAB Type School/Student Health Service
Facility Name METHODIST UNIVERSITY HEALTH CENTER
Street 5400 RAMSEY STREET
City FAYETTEVILLE
State NC
ZIP 28311
Phone 910 630-7164
CertificateType 4
CertificateEffectiveDate 2/8/2023
CertificateExpirationDate 2/7/2025
FacilityType Waiver

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