34D0890797 CLIA NUMBER - SOUTHEASTERN INTEGRATED FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 34D0890797
  • Facility Name: SOUTHEASTERN INTEGRATED FAMILY MEDICINE
  • Facility Address: 105 FARM BROOK DRIVE
    LUMBERTON, NC
    ZIP 28358
  • Facility Phone: 910 522-0408
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JOSEPH E. ROBERTS MD
  • NPI Number: 1326036138
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D0890797
LAB Type Physician Office
Facility Name SOUTHEASTERN INTEGRATED FAMILY MEDICINE
Street 105 FARM BROOK DRIVE
City LUMBERTON
State NC
ZIP 28358
Phone 910 522-0408
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 12/1/2023
Certificate Expiration Date 11/30/2025
Facility Type Physician Office
Lab Director JOSEPH E. ROBERTS MD

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