34D0245307 CLIA NUMBER - SOUTHEASTERN DERMATOLOGY, PA

Laboratory Demographics

  • CLIA Code: 34D0245307
  • Facility Name: SOUTHEASTERN DERMATOLOGY, PA
  • Facility Address: 4390 FAYETTEVILLE RD
    LUMBERTON, NC
    ZIP 28358
  • Facility Phone: 910 738-7154
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: PETER L. MATTEI
  • NPI Number: 1922043629
  • Taxonomy: 207N00000X - Dermatology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 34D0245307
LAB Type Physician Office
Facility Name SOUTHEASTERN DERMATOLOGY, PA
Street 4390 FAYETTEVILLE RD
City LUMBERTON
State NC
ZIP 28358
Phone 910 738-7154
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 3/15/2025
Certificate Expiration Date 3/14/2027
Facility Type Physician Office
Lab Director PETER L. MATTEI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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