34D2084521 CLIA NUMBER - THE SURGERY CENTER AT SOUTHEASTERN HEALTH PARK

Laboratory Demographics

  • CLIA Code: 34D2084521
  • Facility Name: THE SURGERY CENTER AT SOUTHEASTERN HEALTH PARK
  • Facility Address: 4901 DAWN DRIVE
    LUMBERTON, NC
    ZIP 28360
  • Facility Phone: 910 272-1425
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MICHAEL KIDD
  • NPI Number: 1972911030
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D2084521
LAB Type Ambulatory Surgery Center
Facility Name THE SURGERY CENTER AT SOUTHEASTERN HEALTH PARK
Street 4901 DAWN DRIVE
City LUMBERTON
State NC
ZIP 28360
Phone 910 272-1425
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 Ambulatory Surgery Center
Lab Director MICHAEL KIDD

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