34D0244939 CLIA NUMBER - SOUTHERN REGIONAL AHEC FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 34D0244939
  • Facility Name: SOUTHERN REGIONAL AHEC FAMILY PRACTICE
  • Facility Address: 1601 OWEN DRIVE
    FAYETTEVILLE, NC
    ZIP 28304
  • Facility Phone: 910 678-7295
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. HARSUKH GEVARIYA
  • NPI Number: 1982778049
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D0244939
LAB Type Physician Office
Facility Name SOUTHERN REGIONAL AHEC FAMILY PRACTICE
Street 1601 OWEN DRIVE
City FAYETTEVILLE
State NC
ZIP 28304
Phone 910 678-7295
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 3/8/2025
Certificate Expiration Date 3/7/2027
Facility Type Physician Office
Lab Director DR. HARSUKH GEVARIYA

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