34D0241882 CLIA NUMBER - FARMVILLE INTERNAL MEDICINE PA

Laboratory Demographics

CLIA Number: 34D0241882

Facility Name: FARMVILLE INTERNAL MEDICINE PA

Facility Address:
3485 N MAIN STREET
FARMVILLE, NC
ZIP 27828
Get Directions

Facility Phone Number: 252 753-3193

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1710942610

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	34D0241882
LAB Type	Physician Office
Facility Name	FARMVILLE INTERNAL MEDICINE PA
Street	3485 N MAIN STREET
City	FARMVILLE
State	NC
ZIP	27828
Phone	252 753-3193
CertificateType	4
CertificateEffectiveDate	9/27/2023
CertificateExpirationDate	9/26/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024