34D1105154 CLIA NUMBER - MARIA PARHAM NEPHROLOGY

Laboratory Demographics

  • CLIA Code: 34D1105154
  • Facility Name: MARIA PARHAM NEPHROLOGY
  • Facility Address: 568 RUIN CREEK RD STE 003
    HENDERSON, NC
    ZIP 27536
  • Facility Phone: 252 436-1080
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. TARIQ ABO-KAMIL
  • NPI Number: 1801172820
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D1105154
LAB Type Physician Office
Facility Name MARIA PARHAM NEPHROLOGY
Street 568 RUIN CREEK RD STE 003
City HENDERSON
State NC
ZIP 27536
Phone 252 436-1080
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 7/11/2024
Certificate Expiration Date 7/10/2026
Facility Type Physician Office
Lab Director DR. TARIQ ABO-KAMIL

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