34D2024362 CLIA NUMBER - CAPE FEAR VALLEY PRIMARY CARE- DUNN

Laboratory Demographics

  • CLIA Code: 34D2024362
  • Facility Name: CAPE FEAR VALLEY PRIMARY CARE- DUNN
  • Facility Address: 803 TILGHMAN DRIVE, SUITE 100
    DUNN, NC
    ZIP 28334
  • Facility Phone: 910 892-4248
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. BRAD E. BUTLER
  • NPI Number: 1184921843
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D2024362
LAB Type Physician Office
Facility Name CAPE FEAR VALLEY PRIMARY CARE- DUNN
Street 803 TILGHMAN DRIVE, SUITE 100
City DUNN
State NC
ZIP 28334
Phone 910 892-4248
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/13/2025
Certificate Expiration Date 5/12/2027
Facility Type Physician Office
Lab Director DR. BRAD E. BUTLER

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