34D0876159 CLIA NUMBER - UNC HEALTH FAMILY MEDICINE AT FAIRMONT

Laboratory Demographics

  • CLIA Code: 34D0876159
  • Facility Name: UNC HEALTH FAMILY MEDICINE AT FAIRMONT
  • Facility Address: 101 NORTH WALNUT STREET
    FAIRMONT, NC
    ZIP 28340
  • Facility Phone: 910 628-0655
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: AUNDREA R. EMANUEL
  • NPI Number: 1952301079
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 34D0876159
LAB Type Physician Office
Facility Name UNC HEALTH FAMILY MEDICINE AT FAIRMONT
Street 101 NORTH WALNUT STREET
City FAIRMONT
State NC
ZIP 28340
Phone 910 628-0655
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 11/4/2023
Certificate Expiration Date 11/3/2025
Facility Type Physician Office
Lab Director AUNDREA R. EMANUEL

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