34D0245419 CLIA NUMBER - JULIAN T PIERCE HEALTH CTR,THE

Laboratory Demographics

CLIA Number: 34D0245419

Facility Name: JULIAN T PIERCE HEALTH CTR,THE

Facility Address:
307 EAST WARDELL DRIVE
PEMBROKE, NC
ZIP 28372
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Facility Phone Number: 910 521-2816

Facility Type: Community Clinic

Certificate Type: Microscopy

NPI Number: 1750348538

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	34D0245419
LAB Type	Community Clinic
Facility Name	JULIAN T PIERCE HEALTH CTR,THE
Street	307 EAST WARDELL DRIVE
City	PEMBROKE
State	NC
ZIP	28372
Phone	910 521-2816
CertificateType	3
CertificateEffectiveDate	12/8/2022
CertificateExpirationDate	12/7/2024
FacilityType	PPMP

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