34D0666411 CLIA NUMBER - SANDHILLS MEDICAL GROUP - WEST MAIN

Laboratory Demographics

CLIA Number: 34D0666411

Facility Name: SANDHILLS MEDICAL GROUP - WEST MAIN

Facility Address:
222 W MAIN ST
HAMLET, NC
ZIP 28345
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Facility Phone Number: 910 205-0400

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1972509180

Taxonomy: 173000000X - Legal Medicine
The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.

CLIA Record

Field Name	Field Value
CLIA Number	34D0666411
LAB Type	Physician Office
Facility Name	SANDHILLS MEDICAL GROUP - WEST MAIN
Street	222 W MAIN ST
City	HAMLET
State	NC
ZIP	28345
Phone	910 205-0400
CertificateType	4
CertificateEffectiveDate	7/1/2023
CertificateExpirationDate	6/30/2025
FacilityType	Waiver

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