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Organization

LABORATORY CORPORATION OF AMERICA HOLDINGS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLY T WILLIAMS (VP)
(336) 222-7566
Entity
Organization

Contact information

Practice address
107 CONTEMPO AVE STE B, WEST MONROE, LA 71291-5383
(318) 398-1665
(318) 329-8094
Mailing address
PO BOX 2240, BURLINGTON, NC 27216-2240
(336) 222-7566

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
19D2049335
CLIA
Enumeration date
06/24/2020
Last updated
06/24/2020
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