34D1106891 CLIA NUMBER - EASTERN INTERNAL MEDICINE PA

Laboratory Demographics

  • CLIA Code: 34D1106891
  • Facility Name: EASTERN INTERNAL MEDICINE PA
  • Facility Address: 2635 TILGHMAN RD N.
    WILSON, NC
    ZIP 27896
  • Facility Phone: 252 991-2067
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JESSICA H. MCKEE
  • NPI Number: 1174858773
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D1106891
LAB Type Physician Office
Facility Name EASTERN INTERNAL MEDICINE PA
Street 2635 TILGHMAN RD N.
City WILSON
State NC
ZIP 27896
Phone 252 991-2067
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/23/2025
Certificate Expiration Date 10/22/2027
Facility Type Physician Office
Lab Director JESSICA H. MCKEE

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