34D2064790 CLIA NUMBER - JACKSONVILLE ALLERGY, ASTHMA, & SINUS

Laboratory Demographics

  • CLIA Code: 34D2064790
  • Facility Name: JACKSONVILLE ALLERGY, ASTHMA, & SINUS
  • Facility Address: 156 MEMORIAL COURT
    JACKSONVILLE, NC
    ZIP 28546
  • Facility Phone: 910 353-0581
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THOMAS HAYES WOOLEN JR
  • NPI Number: 1770771750
  • Taxonomy: 261QM0855X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D2064790
LAB Type Physician Office
Facility Name JACKSONVILLE ALLERGY, ASTHMA, & SINUS
Street 156 MEMORIAL COURT
City JACKSONVILLE
State NC
ZIP 28546
Phone 910 353-0581
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/27/2023
Certificate Expiration Date 8/26/2025
Facility Type Physician Office
Lab Director THOMAS HAYES WOOLEN JR

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This page was last updated on: 3/20/2025