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34D0945722 CLIA NUMBER - COASTAL CAROLINA EYE CLINIC PA

Laboratory Demographics

CLIA Number: 34D0945722

Facility Name: COASTAL CAROLINA EYE CLINIC PA

Facility Address:
1120 MEDICAL CENTER DR
WILMINGTON, NC
ZIP 28401
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Facility Phone Number: 910 763-7316

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1396867040

Taxonomy: 207W00000X - Ophthalmology
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

CLIA Record

Field Name Field Value
CLIA Number 34D0945722
LAB Type Physician Office
Facility Name COASTAL CAROLINA EYE CLINIC PA
Street 1120 MEDICAL CENTER DR
City WILMINGTON
State NC
ZIP 28401
Phone 910 763-7316
CertificateType 4
CertificateEffectiveDate 5/8/2022
CertificateExpirationDate 5/7/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024