34D1060510 CLIA NUMBER - FIRST HEALTH SOUTHERN PINES DIAGNOSTIC IMAGING CENTER

Laboratory Demographics

  • CLIA Code: 34D1060510
  • Facility Name: FIRST HEALTH SOUTHERN PINES DIAGNOSTIC IMAGING CENTER
  • Facility Address: 355 SOUTH BENNETT ST CT STE
    SOUTHERN PINES, NC
    ZIP 28387
  • Facility Phone: 910 692-7449
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: MICHAEL D. EDWARDS
  • NPI Number: 1467068833
  • Taxonomy: 293D00000X - Physiological Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 34D1060510
LAB Type Other
Facility Name FIRST HEALTH SOUTHERN PINES DIAGNOSTIC IMAGING CENTER
Street 355 SOUTH BENNETT ST CT STE
City SOUTHERN PINES
State NC
ZIP 28387
Phone 910 692-7449
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/4/2024
Certificate Expiration Date 9/3/2026
Facility Type Other
Lab Director MICHAEL D. EDWARDS

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