34D1013212 CLIA NUMBER - LONGLEAF WELLNESS, PLLC

Laboratory Demographics

  • CLIA Code: 34D1013212
  • Facility Name: LONGLEAF WELLNESS, PLLC
  • Facility Address: 1090 EAST CENTRAL AVE
    RAEFORD, NC
    ZIP 28376
  • Facility Phone: (910) 875-4545
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARGARET A. MONROE
  • NPI Number: 1821643172
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D1013212
LAB Type Physician Office
Facility Name LONGLEAF WELLNESS, PLLC
Street 1090 EAST CENTRAL AVE
City RAEFORD
State NC
ZIP 28376
Phone 9108754545
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/1/2025
Certificate Expiration Date 12/31/2026
Facility Type Physician Office
Lab Director MARGARET A. MONROE

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This page was last updated on: 5/18/2026