34D2236487 CLIA NUMBER - CAROLINA LIQUID CHEMISTRIES CORP

Laboratory Demographics

CLIA Number: 34D2236487

Facility Name: CAROLINA LIQUID CHEMISTRIES CORP

Facility Address:
313 GALLIMORE DAIRY RD
GREENSBORO, NC
ZIP 27409
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Facility Phone Number: 877 722-8910

Facility Type: Mobile Laboratory

Certificate Type: Waiver

NPI Number: 1659339596

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	34D2236487
LAB Type	Mobile Laboratory
Facility Name	CAROLINA LIQUID CHEMISTRIES CORP
Street	313 GALLIMORE DAIRY RD
City	GREENSBORO
State	NC
ZIP	27409
Phone	877 722-8910
CertificateType	4
CertificateEffectiveDate	9/17/2023
CertificateExpirationDate	9/16/2025
FacilityType	Waiver

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