34D1044472 CLIA NUMBER - WILMINGTON HEALTH (PORTERS NECK - 8090)

Laboratory Demographics

CLIA Number: 34D1044472

Facility Name: WILMINGTON HEALTH (PORTERS NECK - 8090)

Facility Address:
8090 MARKET STREET
WILMINGTON, NC
ZIP 28411
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Facility Phone Number: 910 341-3354

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1396911152

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	34D1044472
LAB Type	Physician Office
Facility Name	WILMINGTON HEALTH (PORTERS NECK - 8090)
Street	8090 MARKET STREET
City	WILMINGTON
State	NC
ZIP	28411
Phone	910 341-3354
CertificateType	4
CertificateEffectiveDate	8/22/2023
CertificateExpirationDate	8/21/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024