34D2047392 CLIA NUMBER - JOHN A AZZATO, MD

Laboratory Demographics

  • CLIA Code: 34D2047392
  • Facility Name: JOHN A AZZATO, MD
  • Facility Address: 1513 N HOWE STREET, SUITE 4
    SOUTHPORT, NC
    ZIP 28461
  • Facility Phone: 910 805-5578
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN A. AZZATO
  • NPI Number: 1811914435
  • Taxonomy: 207X00000X - Orthopaedic Surgery

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 34D2047392
LAB Type Physician Office
Facility Name JOHN A AZZATO, MD
Street 1513 N HOWE STREET, SUITE 4
City SOUTHPORT
State NC
ZIP 28461
Phone 910 805-5578
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/24/2024
Certificate Expiration Date 9/23/2026
Facility Type Physician Office
Lab Director JOHN A. AZZATO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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