34D1005990 CLIA NUMBER - VANCEBORO INTERNAL MEDICINE PA

Laboratory Demographics

  • CLIA Code: 34D1005990
  • Facility Name: VANCEBORO INTERNAL MEDICINE PA
  • Facility Address: 260 HWY 43N
    VANCEBORO, NC
    ZIP 28586
  • Facility Phone: 252 244-4700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GURINDER PAUL S. SANDHU
  • NPI Number: 1306046875
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D1005990
LAB Type Physician Office
Facility Name VANCEBORO INTERNAL MEDICINE PA
Street 260 HWY 43N
City VANCEBORO
State NC
ZIP 28586
Phone 252 244-4700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2025
Certificate Expiration Date 9/28/2027
Facility Type Physician Office
Lab Director GURINDER PAUL S. SANDHU

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