34D2263117 CLIA NUMBER - STARTOWN PRIMARY CARE

Laboratory Demographics

CLIA Number: 34D2263117

Facility Name: STARTOWN PRIMARY CARE

Facility Address:
2421 W NC 10 HWY
NEWTON, NC
ZIP 28658
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Facility Phone Number: 828 994-4003

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1568108223

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	34D2263117
LAB Type	Practitioner Other
Facility Name	STARTOWN PRIMARY CARE
Street	2421 W NC 10 HWY
City	NEWTON
State	NC
ZIP	28658
Phone	828 994-4003
CertificateType	4
CertificateEffectiveDate	6/23/2022
CertificateExpirationDate	6/22/2024
FacilityType	Waiver

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