34D2113188 CLIA NUMBER - CUMBERLAND BEHAVIORAL CARE

Laboratory Demographics

  • CLIA Code: 34D2113188
  • Facility Name: CUMBERLAND BEHAVIORAL CARE
  • Facility Address: 2931 BREEZEWOOD AVE, SUITE 104
    FAYETTEVILLE, NC
    ZIP 28303
  • Facility Phone: 910 491-1134
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT C. PENNEBAKER
  • NPI Number: 1144657677
  • Taxonomy: 363LP0808X - Nurse Practitioner

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/17/2024
Certificate Expiration Date 5/16/2026
Facility Type Physician Office
Lab Director ROBERT C. PENNEBAKER

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