Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
34D2122092
|
|
Clinical laboratory number
|
|
Lab Name
|
SIMPLECLINIC, PLLC
|
|
Laboratory Name
|
|
Lab Type
|
Practitioner Other
|
|
Laboratory Type
|
|
Certificate Type
|
PPMP
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
910-491-4530
|
|
Laboratory telephone number
|
|
Fax
|
910-491-6093
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
1074 SOUTHERN AVENUE
|
|
Primary location adress line
|
|
City
|
FAYETTEVILLE
|
|
Primary location city name
|
|
State
|
NC
|
|
Primary location state name
|
|
Zip
|
28306
|
|
Primary location postal code
|