34D2115200 CLIA NUMBER - ISLAND CARDIOLOGY, PLLC

Laboratory Demographics

  • CLIA Code: 34D2115200
  • Facility Name: ISLAND CARDIOLOGY, PLLC
  • Facility Address: 1328 LAKE PARK BOULEVARD N
    CAROLINA BEACH, NC
    ZIP 28428
  • Facility Phone: 910 632-6300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAMIEN A. BREZINSKI
  • NPI Number: 1477909778
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D2115200
LAB Type Physician Office
Facility Name ISLAND CARDIOLOGY, PLLC
Street 1328 LAKE PARK BOULEVARD N
City CAROLINA BEACH
State NC
ZIP 28428
Phone 910 632-6300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/30/2024
Certificate Expiration Date 6/29/2026
Facility Type Physician Office
Lab Director DAMIEN A. BREZINSKI

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