34D2042993 CLIA NUMBER - UNC HEALTH URGENT CARE AT SOUTHEASTERN HEALTH MALL

Laboratory Demographics

  • CLIA Code: 34D2042993
  • Facility Name: UNC HEALTH URGENT CARE AT SOUTHEASTERN HEALTH MALL
  • Facility Address: 2934 NORTH ELM STREET SUITE B
    LUMBERTON, NC
    ZIP 28358
  • Facility Phone: 910 272-1175
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JAMES D. MCLEOD
  • NPI Number: 1356774855
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D2042993
LAB Type Physician Office
Facility Name UNC HEALTH URGENT CARE AT SOUTHEASTERN HEALTH MALL
Street 2934 NORTH ELM STREET SUITE B
City LUMBERTON
State NC
ZIP 28358
Phone 910 272-1175
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 6/25/2024
Certificate Expiration Date 6/24/2026
Facility Type Physician Office
Lab Director JAMES D. MCLEOD

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