34D2239617 CLIA NUMBER - BURLINGTON ACTT

Laboratory Demographics

CLIA Number: 34D2239617

Facility Name: BURLINGTON ACTT

Facility Address:
2505 S MEBANE ST
BURLINGTON, NC
ZIP 27215
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Facility Phone Number: 336 223-0444

Facility Type: Other - ASSERTIVE COMM TREATMENT

Certificate Type: Waiver

NPI Number: 1265577241

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	34D2239617
LAB Type	Other - ASSERTIVE COMM TREATMENT
Facility Name	BURLINGTON ACTT
Street	2505 S MEBANE ST
City	BURLINGTON
State	NC
ZIP	27215
Phone	336 223-0444
CertificateType	4
CertificateEffectiveDate	10/13/2023
CertificateExpirationDate	10/12/2025
FacilityType	Waiver

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