34D0241730 CLIA NUMBER - OIC FAMILY MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 34D0241730
  • Facility Name: OIC FAMILY MEDICAL CENTER
  • Facility Address: 111 S FAIRVIEW ROAD
    ROCKY MOUNT, NC
    ZIP 27801
  • Facility Phone: 252 210-9856
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: TISA O. ROBERTS
  • NPI Number: 1396103305
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D0241730
LAB Type Federally Qualified Health Center
Facility Name OIC FAMILY MEDICAL CENTER
Street 111 S FAIRVIEW ROAD
City ROCKY MOUNT
State NC
ZIP 27801
Phone 252 210-9856
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/30/2024
Certificate Expiration Date 8/29/2026
Facility Type Federally Qualified Health Center
Lab Director TISA O. ROBERTS

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This page was last updated on: 9/29/2025