34D0246600 CLIA NUMBER - CAROLINAEAST INTERNAL MEDICINE - VANCEBORO

Laboratory Demographics

  • CLIA Code: 34D0246600
  • Facility Name: CAROLINAEAST INTERNAL MEDICINE - VANCEBORO
  • Facility Address: 620 FARM LIFE AVENUE
    VANCEBORO, NC
    ZIP 28586
  • Facility Phone: 252 244-1785
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: NEIL BENDER
  • NPI Number: 1386934545
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D0246600
LAB Type Physician Office
Facility Name CAROLINAEAST INTERNAL MEDICINE - VANCEBORO
Street 620 FARM LIFE AVENUE
City VANCEBORO
State NC
ZIP 28586
Phone 252 244-1785
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 11/1/2024
Certificate Expiration Date 10/31/2026
Facility Type Physician Office
Lab Director NEIL BENDER

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This page was last updated on: 6/4/2025