34D1090922 CLIA NUMBER - SOUTHEASTERN MEDICAL PA DR HENRY LEPORE

Laboratory Demographics

  • CLIA Code: 34D1090922
  • Facility Name: SOUTHEASTERN MEDICAL PA DR HENRY LEPORE
  • Facility Address: 830 SUNSET BLVD
    SUNSET BEACH, NC
    ZIP 28468
  • Facility Phone: 910 575-5750
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JO A. LEPORE
  • NPI Number: 1467006197
  • Taxonomy: 2081P2900X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 34D1090922
LAB Type Physician Office
Facility Name SOUTHEASTERN MEDICAL PA DR HENRY LEPORE
Street 830 SUNSET BLVD
City SUNSET BEACH
State NC
ZIP 28468
Phone 910 575-5750
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/22/2024
Certificate Expiration Date 10/21/2026
Facility Type Physician Office
Lab Director JO A. LEPORE

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