34D2113188 CLIA NUMBER - CUMBERLAND BEHAVIORAL CARE

Laboratory Demographics

CLIA Number: 34D2113188

Facility Name: CUMBERLAND BEHAVIORAL CARE

Facility Address:
2931 BREEZEWOOD AVE, SUITE 104
FAYETTEVILLE, NC
ZIP 28303
Get Directions

Facility Phone Number: 910 491-1134

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1144657677

Taxonomy: 363LP0808X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	34D2113188
LAB Type	Physician Office
Facility Name	CUMBERLAND BEHAVIORAL CARE
Street	2931 BREEZEWOOD AVE, SUITE 104
City	FAYETTEVILLE
State	NC
ZIP	28303
Phone	910 491-1134
CertificateType	4
CertificateEffectiveDate	5/17/2022
CertificateExpirationDate	5/16/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024