34D0993002 CLIA NUMBER - ROBERT KELL MD

Laboratory Demographics

  • CLIA Code: 34D0993002
  • Facility Name: ROBERT KELL MD
  • Facility Address: 200 DOCTORS DRIVE, SUITE F
    JACKSONVILLE, NC
    ZIP 28546
  • Facility Phone: 910 353-1499
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ROBERT KELL MD
  • NPI Number: 1710086236
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D0993002
LAB Type Physician Office
Facility Name ROBERT KELL MD
Street 200 DOCTORS DRIVE, SUITE F
City JACKSONVILLE
State NC
ZIP 28546
Phone 910 353-1499
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 11/1/2023
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director ROBERT KELL MD

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