34D1050766 CLIA NUMBER - PELICAN FAMILY MEDICAL CLINIC

Laboratory Demographics

CLIA Number: 34D1050766

Facility Name: PELICAN FAMILY MEDICAL CLINIC

Facility Address:
14057 US HIGHWAY 17 NORTH SUITE 220
HAMPSTEAD, NC
ZIP 28443
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Facility Phone Number: 910 821-1197

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1093982605

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	34D1050766
LAB Type	Physician Office
Facility Name	PELICAN FAMILY MEDICAL CLINIC
Street	14057 US HIGHWAY 17 NORTH SUITE 220
City	HAMPSTEAD
State	NC
ZIP	28443
Phone	910 821-1197
CertificateType	3
CertificateEffectiveDate	10/7/2022
CertificateExpirationDate	10/6/2024
FacilityType	PPMP

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