34D1086609 CLIA NUMBER - HAMLET VA CBOC

Laboratory Demographics

  • CLIA Code: 34D1086609
  • Facility Name: HAMLET VA CBOC
  • Facility Address: 106 JEFFERSON ST
    HAMLET, NC
    ZIP 28345
  • Facility Phone: 910 582-3536
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Accreditation
  • Lab Director: RULY YOEDIONO
  • NPI Number: 1396903456
  • Taxonomy: 261QV0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D1086609
LAB Type Ambulatory Surgery Center
Facility Name HAMLET VA CBOC
Street 106 JEFFERSON ST
City HAMLET
State NC
ZIP 28345
Phone 910 582-3536
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 7/16/2008
Certificate Expiration Date 5/22/2026
Facility Type Ambulatory Surgery Center
Lab Director RULY YOEDIONO

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