34D0696222 CLIA NUMBER - CENTRAL CAROLINA INTERNAL MEDICINE ASSOCIATES

Laboratory Demographics

  • CLIA Code: 34D0696222
  • Facility Name: CENTRAL CAROLINA INTERNAL MEDICINE ASSOCIATES
  • Facility Address: 1139 CARTHAGE STREET, SUITE 110-A
    SANFORD, NC
    ZIP 27330
  • Facility Phone: 919 774-2195
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GERARD J. O'DONNELL
  • NPI Number: 1144658311
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 34D0696222
LAB Type Physician Office
Facility Name CENTRAL CAROLINA INTERNAL MEDICINE ASSOCIATES
Street 1139 CARTHAGE STREET, SUITE 110-A
City SANFORD
State NC
ZIP 27330
Phone 919 774-2195
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2025
Certificate Expiration Date 6/30/2027
Facility Type Physician Office
Lab Director GERARD J. O'DONNELL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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