34D0245660 CLIA NUMBER - WILMINGTON INTERNAL MEDICINE, PA

Laboratory Demographics

  • CLIA Code: 34D0245660
  • Facility Name: WILMINGTON INTERNAL MEDICINE, PA
  • Facility Address: 2215 CANTERWOOD DRIVE
    WILMINGTON, NC
    ZIP 28401
  • Facility Phone: 910 762-4600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FRANK A. SNYDER
  • NPI Number: 1639201056
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D0245660
LAB Type Physician Office
Facility Name WILMINGTON INTERNAL MEDICINE, PA
Street 2215 CANTERWOOD DRIVE
City WILMINGTON
State NC
ZIP 28401
Phone 910 762-4600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2025
Certificate Expiration Date 6/6/2027
Facility Type Physician Office
Lab Director FRANK A. SNYDER

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