34D2003300 CLIA NUMBER - UNC HEALTH FAMILY MEDICINE AT GRAYS CREEK

Laboratory Demographics

  • CLIA Code: 34D2003300
  • Facility Name: UNC HEALTH FAMILY MEDICINE AT GRAYS CREEK
  • Facility Address: 1249 CHICKENFOOT ROAD
    HOPE MILLS, NC
    ZIP 28348
  • Facility Phone: 910 423-1278
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SIMMONS J. KELSEY
  • NPI Number: 1073906228
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 34D2003300
LAB Type Physician Office
Facility Name UNC HEALTH FAMILY MEDICINE AT GRAYS CREEK
Street 1249 CHICKENFOOT ROAD
City HOPE MILLS
State NC
ZIP 28348
Phone 910 423-1278
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 2/5/2024
Certificate Expiration Date 2/4/2026
Facility Type Physician Office
Lab Director SIMMONS J. KELSEY

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