34D1035034 CLIA NUMBER - CENTRAL CAROLINA FAMILY CARE SOUTH

Laboratory Demographics

  • CLIA Code: 34D1035034
  • Facility Name: CENTRAL CAROLINA FAMILY CARE SOUTH
  • Facility Address: 1140 CARTHAGE STREET SUITE B
    SANFORD, NC
    ZIP 27330
  • Facility Phone: 919 777-0337
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ROBERT MCCONVILLE
  • NPI Number: 1235569286
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D1035034
LAB Type Physician Office
Facility Name CENTRAL CAROLINA FAMILY CARE SOUTH
Street 1140 CARTHAGE STREET SUITE B
City SANFORD
State NC
ZIP 27330
Phone 919 777-0337
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/4/2025
Certificate Expiration Date 1/3/2027
Facility Type Physician Office
Lab Director DR. ROBERT MCCONVILLE

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