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Organization

LABORATORY CORPORATION OF AMERICA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WILLIAM B HAYES (CFO EVP TREASURER)
(800) 222-7566
Entity
Organization

Contact information

Practice address
811 N TEGNER ST STE 109, WICKENBURG, AZ 85390-5410
(928) 684-0332
Mailing address
PO BOX 2240, BURLINGTON, NC 27216-2240
(800) 222-7566

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03D1036893
CLIA
Enumeration date
09/24/2008
Last updated
07/31/2009
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