34D0919964 CLIA NUMBER - PHYSICIANS EAST PA-WINTERVILLE

Laboratory Demographics

  • CLIA Code: 34D0919964
  • Facility Name: PHYSICIANS EAST PA-WINTERVILLE
  • Facility Address: 4796 OLD TAR RD
    WINTERVILLE, NC
    ZIP 28590
  • Facility Phone: (252) 353-4111
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: CARRIE CASH
  • NPI Number: 1386609980
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D0919964
LAB Type Physician Office
Facility Name PHYSICIANS EAST PA-WINTERVILLE
Street 4796 OLD TAR RD
City WINTERVILLE
State NC
ZIP 28590
Phone 2523534111
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 3/20/2025
Certificate Expiration Date 3/19/2027
Facility Type Physician Office
Lab Director CARRIE CASH

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This page was last updated on: 5/18/2026