Organization
LABORATORY CORPORATION OF AMERICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY T. WILLIAMS (VICE PRESIDENT)
(336) 436-5402
Entity
Organization
Contact information
Practice address
74 ECLIPSE BLVD, BELOIT, WI 53511-3550
(608) 313-3416
(855) 282-1299
Mailing address
PO BOX 2270, BURLINGTON, NC 27216-2270
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52D2275455
CLIA
—
Enumeration date
02/14/2023
Last updated
07/26/2023
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