34D0690981 CLIA NUMBER - OUTER BANKS HEALTH FAMILY MEDICINE- MANTEO

Laboratory Demographics

  • CLIA Code: 34D0690981
  • Facility Name: OUTER BANKS HEALTH FAMILY MEDICINE- MANTEO
  • Facility Address: 604 AMANDA STREET
    MANTEO, NC
    ZIP 27954
  • Facility Phone: 252 449-5784
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ANN C. SUMNERS
  • NPI Number: 1548748718
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D0690981
LAB Type Physician Office
Facility Name OUTER BANKS HEALTH FAMILY MEDICINE- MANTEO
Street 604 AMANDA STREET
City MANTEO
State NC
ZIP 27954
Phone 252 449-5784
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/16/2024
Certificate Expiration Date 5/15/2026
Facility Type Physician Office
Lab Director DR. ANN C. SUMNERS

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