34D2041434 CLIA NUMBER - BRUNSWICK COUNTY VA OUTREACH

Laboratory Demographics

  • CLIA Code: 34D2041434
  • Facility Name: BRUNSWICK COUNTY VA OUTREACH
  • Facility Address: 18 DOCTORS CIRCLE (UNITS 2&3)
    SUPPLY, NC
    ZIP 28462
  • Facility Phone: 910 488-2120
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: NING CAI
  • NPI Number: 1174658371
  • Taxonomy: 207QG0300X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D2041434
LAB Type Community Clinic
Facility Name BRUNSWICK COUNTY VA OUTREACH
Street 18 DOCTORS CIRCLE (UNITS 2&3)
City SUPPLY
State NC
ZIP 28462
Phone 910 488-2120
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 5/23/2012
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director NING CAI

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