34D2295460 CLIA NUMBER - LA HEALTHCARE & ASSOCIATES, PLLC

Laboratory Demographics

CLIA Number: 34D2295460

Facility Name: LA HEALTHCARE & ASSOCIATES, PLLC

Facility Address:
523 HWY 321 NW
HICKORY, NC
ZIP 28601
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Facility Phone Number: 828 569-1600

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1104691013

Taxonomy: 363LF0000X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	34D2295460
LAB Type	Practitioner Other
Facility Name	LA HEALTHCARE & ASSOCIATES, PLLC
Street	523 HWY 321 NW
City	HICKORY
State	NC
ZIP	28601
Phone	828 569-1600
CertificateType	4
CertificateEffectiveDate	12/12/2023
CertificateExpirationDate	12/11/2025
FacilityType	Waiver

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