34D1066817 CLIA NUMBER - COMMUNITY HEALTH INTERVENTIONS AND SICKLE CELL AGENCY INC

Laboratory Demographics

  • CLIA Code: 34D1066817
  • Facility Name: COMMUNITY HEALTH INTERVENTIONS AND SICKLE CELL AGENCY INC
  • Facility Address: 328 GILLESPIE ST
    FAYETTEVILLE, NC
    ZIP 28301
  • Facility Phone: 910 488-6118
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: MARY E. MC ALLISTER
  • NPI Number: 1083134092
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 34D1066817
LAB Type Community Clinic
Facility Name COMMUNITY HEALTH INTERVENTIONS AND SICKLE CELL AGENCY INC
Street 328 GILLESPIE ST
City FAYETTEVILLE
State NC
ZIP 28301
Phone 910 488-6118
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2025
Certificate Expiration Date 4/2/2027
Facility Type Community Clinic
Lab Director MARY E. MC ALLISTER

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