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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)
(800) 222-7566
Entity
Organization

Contact information

Practice address
253 LEWIS LN, SUITE 302B, HAVRE DE GRACE, MD 21078-3750
(410) 942-0109
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
21D2109964
CLIA
Enumeration date
04/12/2016
Last updated
09/20/2016
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