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Organization

LABORATORY CORPORATION OF AMERICA HOLDINGS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLY T WILLIAMS (VICE PRESIDENT)
(336) 436-5402
Entity
Organization

Contact information

Practice address
5131 O DONOVAN DRIVE, SUITE 100, BATON ROUGE, LA 70808-4791
(225) 757-7143
Mailing address
PO BOX 2240, BURLINGTON, NC 27216-2240
(336) 436-5884

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
19D2208473
CLIA
Enumeration date
02/16/2021
Last updated
02/16/2021
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