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Organization

LABORATORY CORPORATION OF AMERICA HOLDINGS

Active
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Organization

LABORATORY CORPORATION OF AMERICA HOLDINGS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EVAN T SMITH (VICE PRESIDENT)
(336) 209-8960
Entity
Organization

Contact information

Practice address
2422 12TH STREET CT, DE WITT, IA 52742-1225
(563) 659-6090
Mailing address
PO BOX 2240, BURLINGTON, NC 27216-2240

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16D2341839
CLIA
Enumeration date
05/13/2026
Last updated
05/13/2026
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