34D1104868 CLIA NUMBER - BRICK CITY PRIMARY CARE PLLC

Laboratory Demographics

  • CLIA Code: 34D1104868
  • Facility Name: BRICK CITY PRIMARY CARE PLLC
  • Facility Address: 125 CHATHAM ST
    SANFORD, NC
    ZIP 27330
  • Facility Phone: 919 775-1115
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DANA L. GARRETT
  • NPI Number: 1003050238
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D1104868
LAB Type Physician Office
Facility Name BRICK CITY PRIMARY CARE PLLC
Street 125 CHATHAM ST
City SANFORD
State NC
ZIP 27330
Phone 919 775-1115
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 9/11/2025
Certificate Expiration Date 9/10/2027
Facility Type Physician Office
Lab Director DANA L. GARRETT

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