34D0862796 CLIA NUMBER - SURGICARE OF JACKSONVILLE A DEPT OF ONSLOW MEMORIAL HOSPITAL

Laboratory Demographics

  • CLIA Code: 34D0862796
  • Facility Name: SURGICARE OF JACKSONVILLE A DEPT OF ONSLOW MEMORIAL HOSPITAL
  • Facility Address: 166 MEMORIAL COURT
    JACKSONVILLE, NC
    ZIP 28546
  • Facility Phone: 910 353-9565
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: PENNEY BURLINGAME RN BSN
  • NPI Number: 1134213432
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D0862796
LAB Type Ambulatory Surgery Center
Facility Name SURGICARE OF JACKSONVILLE A DEPT OF ONSLOW MEMORIAL HOSPITAL
Street 166 MEMORIAL COURT
City JACKSONVILLE
State NC
ZIP 28546
Phone 910 353-9565
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Ambulatory Surgery Center
Lab Director PENNEY BURLINGAME RN BSN

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