34D2175124 CLIA NUMBER - FRYE REGIONAL SURGERY CENTER - TATE

Laboratory Demographics

CLIA Number: 34D2175124

Facility Name: FRYE REGIONAL SURGERY CENTER - TATE

Facility Address:
250 18TH STREET SE
HICKORY, NC
ZIP 28602
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Facility Phone Number: 828 315-3731

Facility Type: Other - OUTPATIENT SERVICES

Certificate Type: Waiver

NPI Number: 1073634879

Taxonomy: 276400000X - Rehabilitation, Substance Use Disorder Unit
A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.)

CLIA Record

Field Name	Field Value
CLIA Number	34D2175124
LAB Type	Other - OUTPATIENT SERVICES
Facility Name	FRYE REGIONAL SURGERY CENTER - TATE
Street	250 18TH STREET SE
City	HICKORY
State	NC
ZIP	28602
Phone	828 315-3731
CertificateType	4
CertificateEffectiveDate	11/15/2023
CertificateExpirationDate	11/14/2025
FacilityType	Waiver

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