34D2271545 CLIA NUMBER - DEDICATED SENIOR MEDICAL CENTER - EAST BURLINGTON

Laboratory Demographics

CLIA Number: 34D2271545

Facility Name: DEDICATED SENIOR MEDICAL CENTER - EAST BURLINGTON

Facility Address:
378 HARDEN ST
BURLINGTON, NC
ZIP 27215
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Facility Phone Number: 336 698-3814

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1700520988

Taxonomy: 332900000X - Non-Pharmacy Dispensing Site
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

CLIA Record

Field Name	Field Value
CLIA Number	34D2271545
LAB Type	Physician Office
Facility Name	DEDICATED SENIOR MEDICAL CENTER - EAST BURLINGTON
Street	378 HARDEN ST
City	BURLINGTON
State	NC
ZIP	27215
Phone	336 698-3814
CertificateType	4
CertificateEffectiveDate	11/3/2022
CertificateExpirationDate	11/2/2024
FacilityType	Waiver

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