34D0245455 CLIA NUMBER - PINEHURST DERMATOLOGY AND MOHS SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 34D0245455
  • Facility Name: PINEHURST DERMATOLOGY AND MOHS SURGERY CENTER
  • Facility Address: 5 REGIONAL CIRCLE SUITE B
    PINEHURST, NC
    ZIP 28374
  • Facility Phone: 910 295-5567
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: KEVIN Y. SHI
  • NPI Number: 1801077268
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 34D0245455
LAB Type Physician Office
Facility Name PINEHURST DERMATOLOGY AND MOHS SURGERY CENTER
Street 5 REGIONAL CIRCLE SUITE B
City PINEHURST
State NC
ZIP 28374
Phone 910 295-5567
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 8/30/2025
Certificate Expiration Date 8/29/2027
Facility Type Physician Office
Lab Director KEVIN Y. SHI

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