34D2032015 CLIA NUMBER - OUTER BANKS HEALTH FAMILY MEDICINE- KITTY HAWK

Laboratory Demographics

  • CLIA Code: 34D2032015
  • Facility Name: OUTER BANKS HEALTH FAMILY MEDICINE- KITTY HAWK
  • Facility Address: 5120 N CROATAN HIGHWAY
    KITTY HAWK, NC
    ZIP 27949
  • Facility Phone: 252 449-5780
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JEFFREY A. RAY
  • NPI Number: 1356543250
  • Taxonomy: 235Z00000X - Speech-Language Pathologist

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CLIA Record

Field Name Field Value
CLIA Number 34D2032015
LAB Type Physician Office
Facility Name OUTER BANKS HEALTH FAMILY MEDICINE- KITTY HAWK
Street 5120 N CROATAN HIGHWAY
City KITTY HAWK
State NC
ZIP 27949
Phone 252 449-5780
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2023
Certificate Expiration Date 11/1/2025
Facility Type Physician Office
Lab Director DR. JEFFREY A. RAY

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