34D0715355 CLIA NUMBER - CHESAPEAKE REGIONAL PRIMARY CARE - CURRITUCK

Laboratory Demographics

  • CLIA Code: 34D0715355
  • Facility Name: CHESAPEAKE REGIONAL PRIMARY CARE - CURRITUCK
  • Facility Address: 534 CARATOKE HWY
    MOYOCK, NC
    ZIP 27958
  • Facility Phone: 252 435-6621
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NITISH J. MANNING
  • NPI Number: 1104043264
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D0715355
LAB Type Physician Office
Facility Name CHESAPEAKE REGIONAL PRIMARY CARE - CURRITUCK
Street 534 CARATOKE HWY
City MOYOCK
State NC
ZIP 27958
Phone 252 435-6621
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/12/2025
Certificate Expiration Date 9/11/2027
Facility Type Physician Office
Lab Director NITISH J. MANNING

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