34D2093829 CLIA NUMBER - SOUTHEASTERN FAMILY MEDICINE CLINIC AT THE OAKS

Laboratory Demographics

  • CLIA Code: 34D2093829
  • Facility Name: SOUTHEASTERN FAMILY MEDICINE CLINIC AT THE OAKS
  • Facility Address: 730 OAKRIDGE BOULEVARD
    LUMBERTON, NC
    ZIP 28358
  • Facility Phone: 910 738-2662
  • Facility Type: Other - TRANSITION PRIMARY CARE
  • Facility Type: Microscopy
  • Lab Director: ANDREW M. FREEMAN
  • NPI Number: 1629469895
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 34D2093829
LAB Type Other - TRANSITION PRIMARY CARE
Facility Name SOUTHEASTERN FAMILY MEDICINE CLINIC AT THE OAKS
Street 730 OAKRIDGE BOULEVARD
City LUMBERTON
State NC
ZIP 28358
Phone 910 738-2662
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/6/2025
Certificate Expiration Date 4/5/2027
Facility Type Other - TRANSITION PRIMARY CARE
Lab Director ANDREW M. FREEMAN

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