34D0719428 CLIA NUMBER - MICHAEL B CAVENESS MD

Laboratory Demographics

  • CLIA Code: 34D0719428
  • Facility Name: MICHAEL B CAVENESS MD
  • Facility Address: 15360 US HWY 17
    HAMPSTEAD, NC
    ZIP 28443
  • Facility Phone: 910 270-9839
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MICHAEL B. CAVENESS MD
  • NPI Number: 1952428831
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D0719428
LAB Type Physician Office
Facility Name MICHAEL B CAVENESS MD
Street 15360 US HWY 17
City HAMPSTEAD
State NC
ZIP 28443
Phone 910 270-9839
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director MICHAEL B. CAVENESS MD

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