34D1051391 CLIA NUMBER - PAVILLON INTERNATIONAL MEDICAL DEPT

Laboratory Demographics

  • CLIA Code: 34D1051391
  • Facility Name: PAVILLON INTERNATIONAL MEDICAL DEPT
  • Facility Address: 241 PAVILLON PLACE
    MILL SPRING, NC
    ZIP 28756
  • Facility Phone: 828 694-2300
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: MICHAEL WILKERSON
  • NPI Number: 1306351325
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D1051391
LAB Type Other
Facility Name PAVILLON INTERNATIONAL MEDICAL DEPT
Street 241 PAVILLON PLACE
City MILL SPRING
State NC
ZIP 28756
Phone 828 694-2300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/1/2024
Certificate Expiration Date 2/28/2026
Facility Type Other
Lab Director MICHAEL WILKERSON

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