| Clia Lab | |
|
1811 E Innes St Salisbury NC 28146-6030 | |
| (704) 216-8777 | |
| (704) 638-3129 |
| Full Name | Clia Lab |
|---|---|
| Speciality | Clinic/center - Public Health, State Or Local |
| Location | 1811 E Innes St, Salisbury, North Carolina |
| Authorized Official Name and Position | Nina M. Oliver (INTERIM HEALTH DIRECTOR) |
| Authorized Official Contact | 7042168871 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clia Lab 1811 E Innes St Salisbury NC 28146-6030 Ph: (704) 216-8777 | Clia Lab 1811 E Innes St Salisbury NC 28146-6030 Ph: (704) 216-8777 |
| NPI Number | 1558419986 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 12/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558419986 | NPI | - | NPPES |
| 07231 | Other | NC | BLUECROSSBLUESHIELD OF NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Primary |
| 291U00000X | Clinical Medical Laboratory | 34D0672502 (North Carolina) | Secondary |
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