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

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Laboratory Demographics

CLIA Number: 34D2039489

Facility Name: BURGAW MEDICAL CENTER DBA HAMPSTEAD FAMILY MEDICINE

Facility Address:
25 N HAMSTEAD VILLAGE DR
HAMPSTEAD, NC
ZIP 28443
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Facility Phone Number: 910 803-0340

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1700104775

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	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
CertificateType	3
CertificateEffectiveDate	4/11/2024
CertificateExpirationDate	4/10/2026
FacilityType	PPMP

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