34D0967222 CLIA NUMBER - SENIOR CARE SYSTEMS PA

Laboratory Demographics

  • CLIA Code: 34D0967222
  • Facility Name: SENIOR CARE SYSTEMS PA
  • Facility Address: 1013 PORTERS NECK ROAD, STE #100
    WILMINGTON, NC
    ZIP 28411
  • Facility Phone: 910 686-1099
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MARSHA D. FRETWELL
  • NPI Number: 1821168055
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D0967222
LAB Type Physician Office
Facility Name SENIOR CARE SYSTEMS PA
Street 1013 PORTERS NECK ROAD, STE #100
City WILMINGTON
State NC
ZIP 28411
Phone 910 686-1099
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 11/5/2023
Certificate Expiration Date 11/4/2025
Facility Type Physician Office
Lab Director MARSHA D. FRETWELL

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