34D0688903 CLIA NUMBER - SEAGROVE MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 34D0688903
  • Facility Name: SEAGROVE MEDICAL CLINIC
  • Facility Address: 614 NORTH BROAD STREET
    SEAGROVE, NC
    ZIP 27341
  • Facility Phone: 910 873-7248
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MANJEET K. ACHREJA
  • NPI Number: 1669410783
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D0688903
LAB Type Physician Office
Facility Name SEAGROVE MEDICAL CLINIC
Street 614 NORTH BROAD STREET
City SEAGROVE
State NC
ZIP 27341
Phone 910 873-7248
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director MANJEET K. ACHREJA

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This page was last updated on: 3/20/2025