34D1054922 CLIA NUMBER - SWETANG PATEL MD PA

Laboratory Demographics

  • CLIA Code: 34D1054922
  • Facility Name: SWETANG PATEL MD PA
  • Facility Address: 2587 HENDERSON DRIVE EXT
    JACKSONVILLE, NC
    ZIP 28546
  • Facility Phone: 910 353-4991
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SWETANG PATEL MD
  • NPI Number: 1164436606
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D1054922
LAB Type Physician Office
Facility Name SWETANG PATEL MD PA
Street 2587 HENDERSON DRIVE EXT
City JACKSONVILLE
State NC
ZIP 28546
Phone 910 353-4991
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 6/5/2024
Certificate Expiration Date 6/4/2026
Facility Type Physician Office
Lab Director SWETANG PATEL MD

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