Organization
LABORATORY CORPORATION OF AMERICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY WILLIAMS (VP)
(800) 222-7566
Entity
Organization
Contact information
Practice address
2111 IOWA AVE STE G, RIVERSIDE, CA 92507-7414
(951) 222-4592
Mailing address
PO BOX 2240, BURLINGTON, NC 27216-2240
(800) 222-7566
(336) 436-1048
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D0918619
CLIA
—
Enumeration date
01/04/2012
Last updated
07/21/2022
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