Organization
LABORATORY CORPORATION OF AMERIC HOLDINGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY T WILLIAMS (VICE PRESIDENT)
(800) 222-7566
Entity
Organization
Contact information
Practice address
380 S DAVIS RD, LAGRANGE, GA 30241-2588
(706) 812-4303
(706) 298-4989
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
—
CLIA
11D2110164
—
Enumeration date
08/18/2017
Last updated
08/18/2017
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