Organization
LABORATORY CORPORATION OF AMERICA HOLDINGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY T WILLIAMS (VP)
(800) 222-7566
Entity
Organization
Contact information
Practice address
619 S 8TH ST, SUITE 102, GRIFFIN, GA 30224-4260
(770) 233-5358
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
—
11D1036318
CLIA
GA
Enumeration date
01/06/2006
Last updated
08/29/2016
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