34D1013083 CLIA NUMBER - MED FAST PC

Laboratory Demographics

  • CLIA Code: 34D1013083
  • Facility Name: MED FAST PC
  • Facility Address: 605 WEST CUMBERLAND ST
    DUNN, NC
    ZIP 28334
  • Facility Phone: 910 891-1391
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RODOLFO C. REYES MD
  • NPI Number: 1285722215
  • Taxonomy: 363A00000X - Physician Assistant

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 34D1013083
LAB Type Physician Office
Facility Name MED FAST PC
Street 605 WEST CUMBERLAND ST
City DUNN
State NC
ZIP 28334
Phone 910 891-1391
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/30/2025
Certificate Expiration Date 5/29/2027
Facility Type Physician Office
Lab Director RODOLFO C. REYES MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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