34D1017614 CLIA NUMBER - EASTERN NEPHROLOGY ASSOCIATES

Laboratory Demographics

  • CLIA Code: 34D1017614
  • Facility Name: EASTERN NEPHROLOGY ASSOCIATES
  • Facility Address: 227 MEMORIAL DR SUITE A
    JACKSONVILLE, NC
    ZIP 28546
  • Facility Phone: 252 752-8880
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MAXWELL FISHER
  • NPI Number: 1417083783
  • Taxonomy: 207RN0300X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 34D1017614
LAB Type Physician Office
Facility Name EASTERN NEPHROLOGY ASSOCIATES
Street 227 MEMORIAL DR SUITE A
City JACKSONVILLE
State NC
ZIP 28546
Phone 252 752-8880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/24/2023
Certificate Expiration Date 10/23/2025
Facility Type Physician Office
Lab Director DR. MAXWELL FISHER

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