34D1107818 CLIA NUMBER - JOHNNY L WILLIAMS MC

Laboratory Demographics

  • CLIA Code: 34D1107818
  • Facility Name: JOHNNY L WILLIAMS MC
  • Facility Address: 825 GUM BRANCH RD STE 121
    JACKSONVILLE, NC
    ZIP 28546
  • Facility Phone: 910 333-0376
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHNNY L. WILLIAMS
  • NPI Number: 1972697746
  • Taxonomy: 2084A0401X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 34D1107818
LAB Type Physician Office
Facility Name JOHNNY L WILLIAMS MC
Street 825 GUM BRANCH RD STE 121
City JACKSONVILLE
State NC
ZIP 28546
Phone 910 333-0376
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2023
Certificate Expiration Date 11/12/2025
Facility Type Physician Office
Lab Director JOHNNY L. WILLIAMS

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