34D1013233 CLIA NUMBER - SANDHILLS MEDICAL GROUP-FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 34D1013233
  • Facility Name: SANDHILLS MEDICAL GROUP-FAMILY MEDICINE
  • Facility Address: 1021 WEST HAMLET AVENUE, SUITE #5
    HAMLET, NC
    ZIP 28345
  • Facility Phone: 910 582-5166
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHARLITA R. MANGRUM
  • NPI Number: 1003198920
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D1013233
LAB Type Physician Office
Facility Name SANDHILLS MEDICAL GROUP-FAMILY MEDICINE
Street 1021 WEST HAMLET AVENUE, SUITE #5
City HAMLET
State NC
ZIP 28345
Phone 910 582-5166
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2025
Certificate Expiration Date 6/30/2027
Facility Type Physician Office
Lab Director CHARLITA R. MANGRUM

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