34D2295936 CLIA NUMBER - GRACE GALLOWAY LLC

Laboratory Demographics

  • CLIA Code: 34D2295936
  • Facility Name: GRACE GALLOWAY LLC
  • Facility Address: 1781B S MAIN STREET
    LAURINBURG, NC
    ZIP 28352
  • Facility Phone: 910 506-4018
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: GRACE L. GALLOWAY
  • NPI Number: 1023886835
  • Taxonomy: 207QA0401X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D2295936
LAB Type Practitioner Other
Facility Name GRACE GALLOWAY LLC
Street 1781B S MAIN STREET
City LAURINBURG
State NC
ZIP 28352
Phone 910 506-4018
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/19/2023
Certificate Expiration Date 12/18/2025
Facility Type Practitioner Other
Lab Director GRACE L. GALLOWAY

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This page was last updated on: 9/29/2025