34D2196934 CLIA NUMBER - APPALACHIAN REGIONAL PAIN MGT

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Laboratory Demographics

CLIA Number: 34D2196934

Facility Name: APPALACHIAN REGIONAL PAIN MGT

Facility Address:
261 LONGVUE DRIVE
BOONE, NC
ZIP 28607
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Facility Phone Number: 828 265-5493

Facility Type: Other - PAIN CLINIC

Certificate Type: Waiver

NPI Number: 1033548052

Taxonomy: 261QP3300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	34D2196934
LAB Type	Other - PAIN CLINIC
Facility Name	APPALACHIAN REGIONAL PAIN MGT
Street	261 LONGVUE DRIVE
City	BOONE
State	NC
ZIP	28607
Phone	828 265-5493
CertificateType	4
CertificateEffectiveDate	10/21/2022
CertificateExpirationDate	10/20/2024
FacilityType	Waiver

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