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Organization

LABORATORY CORPORATION OF AMERICA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLY T WILLIAMS (VICE PRESIDENT)
(800) 222-7566
Entity
Organization

Contact information

Practice address
1626 30TH AVE, FAIRBANKS, AK 99701-7466
(907) 479-0332
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
02D2114926
CLIA
Enumeration date
08/02/2016
Last updated
08/02/2016
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