34D2296779 CLIA NUMBER - CAROLINA QUICKCARE- FAYETTEVILLE

Laboratory Demographics

CLIA Number: 34D2296779

Facility Name: CAROLINA QUICKCARE- FAYETTEVILLE

Facility Address:
2807 RAEFORD RD
FAYETTEVILLE, NC
ZIP 28303
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Facility Phone Number: 910 828-1131

Facility Type: Other - URGENT CARE

Certificate Type: Waiver

NPI Number: 1366856262

Taxonomy: 261QD0000X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	34D2296779
LAB Type	Other - URGENT CARE
Facility Name	CAROLINA QUICKCARE- FAYETTEVILLE
Street	2807 RAEFORD RD
City	FAYETTEVILLE
State	NC
ZIP	28303
Phone	910 828-1131
CertificateType	4
CertificateEffectiveDate	1/5/2024
CertificateExpirationDate	1/4/2026
FacilityType	Waiver

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