34D0986291 CLIA NUMBER - JOSETTE MARIA MD

Laboratory Demographics

  • CLIA Code: 34D0986291
  • Facility Name: JOSETTE MARIA MD
  • Facility Address: 800 SUSAN TART RD
    DUNN, NC
    ZIP 28334
  • Facility Phone: 910 892-8892
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSETTE MARIA MD
  • NPI Number: 1629076690
  • Taxonomy: 207RG0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D0986291
LAB Type Physician Office
Facility Name JOSETTE MARIA MD
Street 800 SUSAN TART RD
City DUNN
State NC
ZIP 28334
Phone 910 892-8892
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2025
Certificate Expiration Date 5/20/2027
Facility Type Physician Office
Lab Director JOSETTE MARIA MD

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