34D1104000 CLIA NUMBER - ONSLOW MEM HOSP COMMUNITY STROKE SCREENING PROGRAM

Laboratory Demographics

  • CLIA Code: 34D1104000
  • Facility Name: ONSLOW MEM HOSP COMMUNITY STROKE SCREENING PROGRAM
  • Facility Address: ATTN PENNEY BURLINGAME SR VP 317 WESTERN BLVD
    JACKSONVILLE, NC
    ZIP 28546
  • Facility Phone: 910 577-2345
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: PENNEY A. BURLINGAME
  • NPI Number: 1689855900
  • Taxonomy: 207L00000X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 34D1104000
LAB Type Other
Facility Name ONSLOW MEM HOSP COMMUNITY STROKE SCREENING PROGRAM
Street ATTN PENNEY BURLINGAME SR VP 317 WESTERN BLVD
City JACKSONVILLE
State NC
ZIP 28546
Phone 910 577-2345
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/24/2025
Certificate Expiration Date 8/23/2027
Facility Type Other
Lab Director PENNEY A. BURLINGAME

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