34D1080163 CLIA NUMBER - UNC HEALTH PRIMARY AND SPECIALTY CARE AT PEMBROKE

Laboratory Demographics

  • CLIA Code: 34D1080163
  • Facility Name: UNC HEALTH PRIMARY AND SPECIALTY CARE AT PEMBROKE
  • Facility Address: 923 WEST THIRD STREET, SUITE B
    PEMBROKE, NC
    ZIP 28372
  • Facility Phone: 910 775-9027
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: TONI C. OXENDINE
  • NPI Number: 1912134859
  • Taxonomy: 261QU0200X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 34D1080163
LAB Type Physician Office
Facility Name UNC HEALTH PRIMARY AND SPECIALTY CARE AT PEMBROKE
Street 923 WEST THIRD STREET, SUITE B
City PEMBROKE
State NC
ZIP 28372
Phone 910 775-9027
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 2/15/2024
Certificate Expiration Date 2/14/2026
Facility Type Physician Office
Lab Director TONI C. OXENDINE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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