34D0875272 CLIA NUMBER - CAROLINA FAMILY PRACTICE CENTER PA

Laboratory Demographics

  • CLIA Code: 34D0875272
  • Facility Name: CAROLINA FAMILY PRACTICE CENTER PA
  • Facility Address: 2500 VILLAGE DR., SUITE 100
    FAYETTEVILLE, NC
    ZIP 28304
  • Facility Phone: 910 485-1700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JORGE L. FRANCO
  • NPI Number: 1386713402
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D0875272
LAB Type Physician Office
Facility Name CAROLINA FAMILY PRACTICE CENTER PA
Street 2500 VILLAGE DR., SUITE 100
City FAYETTEVILLE
State NC
ZIP 28304
Phone 910 485-1700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/10/2025
Certificate Expiration Date 6/9/2027
Facility Type Physician Office
Lab Director JORGE L. FRANCO

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