34D2012562 CLIA NUMBER - DLP WILSON PHYSICIANS PRACTICES, LLC DBA NEW HOPE PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 34D2012562
  • Facility Name: DLP WILSON PHYSICIANS PRACTICES, LLC DBA NEW HOPE PRIMARY CARE
  • Facility Address: 2508 WARD BOULEVARD
    WILSON, NC
    ZIP 27893
  • Facility Phone: 252 243-0053
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MEDHAT F. SIDAROS
  • NPI Number: 1932521010
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D2012562
LAB Type Physician Office
Facility Name DLP WILSON PHYSICIANS PRACTICES, LLC DBA NEW HOPE PRIMARY CARE
Street 2508 WARD BOULEVARD
City WILSON
State NC
ZIP 27893
Phone 252 243-0053
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/17/2024
Certificate Expiration Date 5/16/2026
Facility Type Physician Office
Lab Director MEDHAT F. SIDAROS

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