34D0709476 CLIA NUMBER - ANDERSON CREEK MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 34D0709476
  • Facility Name: ANDERSON CREEK MEDICAL CENTER
  • Facility Address: 6750 OVERHILLS ROAD
    SPRING LAKE, NC
    ZIP 28390
  • Facility Phone: 910 436-2900
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: LEWIS MARVIS
  • NPI Number: 1902829153
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D0709476
LAB Type Community Clinic
Facility Name ANDERSON CREEK MEDICAL CENTER
Street 6750 OVERHILLS ROAD
City SPRING LAKE
State NC
ZIP 28390
Phone 910 436-2900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/22/2023
Certificate Expiration Date 4/21/2025
Facility Type Community Clinic
Lab Director LEWIS MARVIS

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