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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
236 BUTTERNUT LN, CLAYTON, NC 27520-5857
(919) 585-4134
(919) 359-9122
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
34D2163231
CLIA
Enumeration date
03/25/2019
Last updated
04/25/2019
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