34D1037688 CLIA NUMBER - CAROMONT MEDICAL GROUP, INC, DBA SOUTH POINT FAMILY PRACTICE, PA - STANLEY OFFICE

Laboratory Demographics

  • CLIA Code: 34D1037688
  • Facility Name: CAROMONT MEDICAL GROUP, INC, DBA SOUTH POINT FAMILY PRACTICE, PA - STANLEY OFFICE
  • Facility Address: 159 E DALLAS ROAD
    STANLEY, NC
    ZIP 28164
  • Facility Phone: 704 825-5333
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: DAVID A. RINEHART
  • NPI Number: 1609057629
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D1037688
LAB Type Community Clinic
Facility Name CAROMONT MEDICAL GROUP, INC, DBA SOUTH POINT FAMILY PRACTICE, PA - STANLEY OFFICE
Street 159 E DALLAS ROAD
City STANLEY
State NC
ZIP 28164
Phone 704 825-5333
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 3/2/2025
Certificate Expiration Date 3/1/2027
Facility Type Community Clinic
Lab Director DAVID A. RINEHART

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