34D0245189 CLIA NUMBER - CAPE FEAR VALLEY PRIMARY CARE - ERWIN

Laboratory Demographics

  • CLIA Code: 34D0245189
  • Facility Name: CAPE FEAR VALLEY PRIMARY CARE - ERWIN
  • Facility Address: 518 - B EAST H STREET
    ERWIN, NC
    ZIP 28339
  • Facility Phone: 910 897-5591
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LAKSHMAN RAO
  • NPI Number: 1245745587
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D0245189
LAB Type Physician Office
Facility Name CAPE FEAR VALLEY PRIMARY CARE - ERWIN
Street 518 - B EAST H STREET
City ERWIN
State NC
ZIP 28339
Phone 910 897-5591
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2025
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director LAKSHMAN RAO

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