42D0697159 CLIA NUMBER - LUNG AND CHEST MEDICAL ASSOCIATES

Laboratory Demographics

CLIA Number: 42D0697159

Facility Name: LUNG AND CHEST MEDICAL ASSOCIATES

Facility Address:
2030 NORTH CHURCH PLACE
SPARTANBURG, SC
ZIP 29303
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Facility Phone Number: 864 582-6858

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1326284340

Taxonomy: 363LF0000X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	42D0697159
LAB Type	Physician Office
Facility Name	LUNG AND CHEST MEDICAL ASSOCIATES
Street	2030 NORTH CHURCH PLACE
City	SPARTANBURG
State	SC
ZIP	29303
Phone	864 582-6858
CertificateType	2
CertificateEffectiveDate	7/28/2022
CertificateExpirationDate	7/27/2024
FacilityType	Compliance

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