34D0943381 CLIA NUMBER - SOUTHEASTERN GASTROENTEROLOGY

Laboratory Demographics

  • CLIA Code: 34D0943381
  • Facility Name: SOUTHEASTERN GASTROENTEROLOGY
  • Facility Address: 101 WEST 27TH STREET
    LUMBERTON, NC
    ZIP 28358
  • Facility Phone: 910 739-0770
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SANTHOSH AUGUSTINE MD
  • NPI Number: 1740279876
  • Taxonomy: 261QM2500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D0943381
LAB Type Physician Office
Facility Name SOUTHEASTERN GASTROENTEROLOGY
Street 101 WEST 27TH STREET
City LUMBERTON
State NC
ZIP 28358
Phone 910 739-0770
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/27/2025
Certificate Expiration Date 5/26/2027
Facility Type Physician Office
Lab Director SANTHOSH AUGUSTINE MD

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