34D1004600 CLIA NUMBER - CAROLINA KIDNEY CARE PA

Laboratory Demographics

  • CLIA Code: 34D1004600
  • Facility Name: CAROLINA KIDNEY CARE PA
  • Facility Address: 810 WESLEY PINES RD
    LUMBERTON, NC
    ZIP 28358
  • Facility Phone: 910 618-1055
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: YUAN LU MD
  • NPI Number: 1174053904
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 34D1004600
LAB Type Physician Office
Facility Name CAROLINA KIDNEY CARE PA
Street 810 WESLEY PINES RD
City LUMBERTON
State NC
ZIP 28358
Phone 910 618-1055
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 10/1/2024
Certificate Expiration Date 9/30/2026
Facility Type Physician Office
Lab Director YUAN LU MD

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