34D2164157 CLIA NUMBER - EMERGE ORTHO

Laboratory Demographics

CLIA Number: 34D2164157

Facility Name: EMERGE ORTHO

Facility Address:
100 KELLIE DRIVE
SMITHFIELD, NC
ZIP 27577
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Facility Phone Number: 919 220-5255

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1699122184

Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

CLIA Record

Field Name Field Value
CLIA Number 34D2164157
LAB Type Physician Office
Facility Name EMERGE ORTHO
Street 100 KELLIE DRIVE
City SMITHFIELD
State NC
ZIP 27577
Phone 919 220-5255
CertificateType 4
CertificateEffectiveDate 3/29/2023
CertificateExpirationDate 3/28/2025
FacilityType Waiver

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