34D2105534 CLIA NUMBER - CAROLINA PSYCHIATRY PC

Laboratory Demographics

  • CLIA Code: 34D2105534
  • Facility Name: CAROLINA PSYCHIATRY PC
  • Facility Address: 548 SANDHURST DRIVE
    FAYETTEVILLE, NC
    ZIP 28304
  • Facility Phone: 910 484-3400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AMBER RARDIN
  • NPI Number: 1114116944
  • Taxonomy: 261QM0850X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D2105534
LAB Type Physician Office
Facility Name CAROLINA PSYCHIATRY PC
Street 548 SANDHURST DRIVE
City FAYETTEVILLE
State NC
ZIP 28304
Phone 910 484-3400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2023
Certificate Expiration Date 11/29/2025
Facility Type Physician Office
Lab Director AMBER RARDIN

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