34D2105697 CLIA NUMBER - FAYETTEVILLE VA HEALTH CARE CENTER

Laboratory Demographics

  • CLIA Code: 34D2105697
  • Facility Name: FAYETTEVILLE VA HEALTH CARE CENTER
  • Facility Address: 7300 S RAEFORD ROAD
    FAYETTEVILLE, NC
    ZIP 28304
  • Facility Phone: 910 488-2120
  • Facility Type: Rural Health Clinic
  • Facility Type: Accreditation
  • Lab Director: TERRI S. GILES
  • NPI Number: 1699146019
  • Taxonomy: 332100000X - Department of Veterans Affairs (VA) Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2105697
LAB Type Rural Health Clinic
Facility Name FAYETTEVILLE VA HEALTH CARE CENTER
Street 7300 S RAEFORD ROAD
City FAYETTEVILLE
State NC
ZIP 28304
Phone 910 488-2120
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 12/2/2015
Certificate Expiration Date 5/22/2026
Facility Type Rural Health Clinic
Lab Director TERRI S. GILES

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