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34D2216991 CLIA NUMBER - ALBEMARLE OCCUPATIONAL MEDICINE, PLLC

Laboratory Demographics

CLIA Number: 34D2216991

Facility Name: ALBEMARLE OCCUPATIONAL MEDICINE, PLLC

Facility Address:
160 NORTH 1ST STREET SUITE 31
ALBEMARLE, NC
ZIP 28001
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Facility Phone Number: 704 550-5607

Facility Type: Other - NOT SPECIFIED

Certificate Type: Waiver
NPI Number: 1730160367

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name Field Value
CLIA Number 34D2216991
LAB Type Other - NOT SPECIFIED
Facility Name ALBEMARLE OCCUPATIONAL MEDICINE, PLLC
Street 160 NORTH 1ST STREET SUITE 31
City ALBEMARLE
State NC
ZIP 28001
Phone 704 550-5607
CertificateType 4
CertificateEffectiveDate 3/17/2023
CertificateExpirationDate 3/16/2025
FacilityType Waiver

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