34D2014310 CLIA NUMBER - WILMINGTON HEALTH (HAMPSTEAD)

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Laboratory Demographics

CLIA Number: 34D2014310

Facility Name: WILMINGTON HEALTH (HAMPSTEAD)

Facility Address:
40 RAVENSWOOD DRIVE
HAMPSTEAD, NC
ZIP 28443
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Facility Phone Number: 910 341-3354

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1851600159

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	34D2014310
LAB Type	Physician Office
Facility Name	WILMINGTON HEALTH (HAMPSTEAD)
Street	40 RAVENSWOOD DRIVE
City	HAMPSTEAD
State	NC
ZIP	28443
Phone	910 341-3354
CertificateType	4
CertificateEffectiveDate	10/6/2022
CertificateExpirationDate	10/5/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024