34D0859406 CLIA NUMBER - MED FIRST IMMEDIATE CARE AND FAMILY PRACTICE, PA

Laboratory Demographics

  • CLIA Code: 34D0859406
  • Facility Name: MED FIRST IMMEDIATE CARE AND FAMILY PRACTICE, PA
  • Facility Address: 707 LASSISTER STREET
    SMITHFIELD, NC
    ZIP 27577
  • Facility Phone: 919 912-5160
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: EDWARD W. HAGA
  • NPI Number: 1629007398
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D0859406
LAB Type Independent
Facility Name MED FIRST IMMEDIATE CARE AND FAMILY PRACTICE, PA
Street 707 LASSISTER STREET
City SMITHFIELD
State NC
ZIP 27577
Phone 919 912-5160
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/30/2024
Certificate Expiration Date 5/29/2026
Facility Type Independent
Lab Director EDWARD W. HAGA

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