34D1019181 CLIA NUMBER - PHYSICIANS EAST - BEULAVILLE

Laboratory Demographics

  • CLIA Code: 34D1019181
  • Facility Name: PHYSICIANS EAST - BEULAVILLE
  • Facility Address: 152 CROSSOVER RD
    BEULAVILLE, NC
    ZIP 28518
  • Facility Phone: 910 298-4688
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: GARY H. HECK
  • NPI Number: 1386059921
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D1019181
LAB Type Physician Office
Facility Name PHYSICIANS EAST - BEULAVILLE
Street 152 CROSSOVER RD
City BEULAVILLE
State NC
ZIP 28518
Phone 910 298-4688
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 11/12/2023
Certificate Expiration Date 11/11/2025
Facility Type Physician Office
Lab Director GARY H. HECK

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