34D0957903 CLIA NUMBER - MARIA PARHAM PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 34D0957903
  • Facility Name: MARIA PARHAM PRIMARY CARE
  • Facility Address: 511 RUIN CREEK ROAD, SUITE 101
    HENDERSON, NC
    ZIP 27536
  • Facility Phone: 252 436-0440
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: GARY SMITH
  • NPI Number: 1720364649
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D0957903
LAB Type Physician Office
Facility Name MARIA PARHAM PRIMARY CARE
Street 511 RUIN CREEK ROAD, SUITE 101
City HENDERSON
State NC
ZIP 27536
Phone 252 436-0440
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 3/5/2025
Certificate Expiration Date 3/4/2027
Facility Type Physician Office
Lab Director GARY SMITH

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