34D2092979 CLIA NUMBER - COASTAL FAMILY PRACTICE PLLC

Laboratory Demographics

  • CLIA Code: 34D2092979
  • Facility Name: COASTAL FAMILY PRACTICE PLLC
  • Facility Address: 820 WEST MAIN STREET
    BELHAVEN, NC
    ZIP 27810
  • Facility Phone: 252 943-0056
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: HELENE ONEAL
  • NPI Number: 1467851626
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 34D2092979
LAB Type Practitioner Other
Facility Name COASTAL FAMILY PRACTICE PLLC
Street 820 WEST MAIN STREET
City BELHAVEN
State NC
ZIP 27810
Phone 252 943-0056
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2025
Certificate Expiration Date 3/17/2027
Facility Type Practitioner Other
Lab Director HELENE ONEAL

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