34D1061513 CLIA NUMBER - NORTH MOORE FAMILY PRACTICE PA

Laboratory Demographics

CLIA Number: 34D1061513

Facility Name: NORTH MOORE FAMILY PRACTICE PA

Facility Address:
301 SOUTH MIDDLETON STREET
ROBBINS, NC
ZIP 27325
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Facility Phone Number: 910 948-2059

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1265709612

Taxonomy: 363LP2300X - Nurse Practitioner

CLIA Record

Field Name Field Value
CLIA Number 34D1061513
LAB Type Physician Office
Facility Name NORTH MOORE FAMILY PRACTICE PA
Street 301 SOUTH MIDDLETON STREET
City ROBBINS
State NC
ZIP 27325
Phone 910 948-2059
CertificateType 3
CertificateEffectiveDate 11/20/2022
CertificateExpirationDate 11/19/2024
FacilityType PPMP

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