34D0864641 CLIA NUMBER - PENDER EMS & FIRE INC

Laboratory Demographics

  • CLIA Code: 34D0864641
  • Facility Name: PENDER EMS & FIRE INC
  • Facility Address: 805 RIDGEWOOD ROAD
    BURGAW, NC
    ZIP 28425
  • Facility Phone: 910 259-0891
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: SCOTT SILLS
  • NPI Number: 1033205182
  • Taxonomy: 3416L0300X - Ambulance

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 34D0864641
LAB Type Mobile Laboratory
Facility Name PENDER EMS & FIRE INC
Street 805 RIDGEWOOD ROAD
City BURGAW
State NC
ZIP 28425
Phone 910 259-0891
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2025
Certificate Expiration Date 5/11/2027
Facility Type Mobile Laboratory
Lab Director SCOTT SILLS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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