34D2068734 CLIA NUMBER - JOHNSTON MEMORIAL HOSPITAL AUTHORITY DBA JOHNSTON HEMATOLOGY ONCOLOGY

Laboratory Demographics

  • CLIA Code: 34D2068734
  • Facility Name: JOHNSTON MEMORIAL HOSPITAL AUTHORITY DBA JOHNSTON HEMATOLOGY ONCOLOGY
  • Facility Address: 514 NORTH BRIGHTLEAF BOULEVARD
    SMITHFIELD, NC
    ZIP 27577
  • Facility Phone: 919 989-2192
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: RUSSELL D. ANDERSON
  • NPI Number: 1649786567
  • Taxonomy: 207RH0003X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D2068734
LAB Type Ancillary Testing Site in Health Care Center
Facility Name JOHNSTON MEMORIAL HOSPITAL AUTHORITY DBA JOHNSTON HEMATOLOGY ONCOLOGY
Street 514 NORTH BRIGHTLEAF BOULEVARD
City SMITHFIELD
State NC
ZIP 27577
Phone 919 989-2192
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/12/2023
Certificate Expiration Date 11/11/2025
Facility Type Ancillary Testing Site in Health Care Center
Lab Director RUSSELL D. ANDERSON

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