34D1102210 CLIA NUMBER - PALMS WELLNESS CENTER

Laboratory Demographics

  • CLIA Code: 34D1102210
  • Facility Name: PALMS WELLNESS CENTER
  • Facility Address: 472-D WESTERN BLVD # D
    JACKSONVILLE, NC
    ZIP 28546
  • Facility Phone: 910 238-4513
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: VICTOR BARNES
  • NPI Number: 1821326828
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 34D1102210
LAB Type Community Clinic
Facility Name PALMS WELLNESS CENTER
Street 472-D WESTERN BLVD # D
City JACKSONVILLE
State NC
ZIP 28546
Phone 910 238-4513
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/14/2025
Certificate Expiration Date 7/13/2027
Facility Type Community Clinic
Lab Director VICTOR BARNES

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