34D2039489 CLIA NUMBER - BURGAW MEDICAL CENTER DBA HAMPSTEAD FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 34D2039489
  • Facility Name: BURGAW MEDICAL CENTER DBA HAMPSTEAD FAMILY MEDICINE
  • Facility Address: 25 N HAMSTEAD VILLAGE DR
    HAMPSTEAD, NC
    ZIP 28443
  • Facility Phone: 910 803-0340
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MOSTAFA M. REZK
  • NPI Number: 1700104775
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D2039489
LAB Type Physician Office
Facility Name BURGAW MEDICAL CENTER DBA HAMPSTEAD FAMILY MEDICINE
Street 25 N HAMSTEAD VILLAGE DR
City HAMPSTEAD
State NC
ZIP 28443
Phone 910 803-0340
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 4/11/2024
Certificate Expiration Date 4/10/2026
Facility Type Physician Office
Lab Director MOSTAFA M. REZK

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