34D1096853 CLIA NUMBER - CRYSTAL COAST FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 34D1096853
  • Facility Name: CRYSTAL COAST FAMILY PRACTICE
  • Facility Address: 540 CEDAR POINT BLVD
    CEDAR POINT, NC
    ZIP 28584
  • Facility Phone: 252 726-8414
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CAS M. CADER MD
  • NPI Number: 1356366413
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 34D1096853
LAB Type Physician Office
Facility Name CRYSTAL COAST FAMILY PRACTICE
Street 540 CEDAR POINT BLVD
City CEDAR POINT
State NC
ZIP 28584
Phone 252 726-8414
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 3/12/2025
Certificate Expiration Date 3/11/2027
Facility Type Physician Office
Lab Director CAS M. CADER MD

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