34D2143040 CLIA NUMBER - PROMINA HEALTH, PC

Laboratory Demographics

CLIA Number: 34D2143040

Facility Name: PROMINA HEALTH, PC

Facility Address:
1606 PHYSICIANS DR, SUITE 102
WILMINGTON, NC
ZIP 28401
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Facility Phone Number: 910 795-1395

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1881118081

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	34D2143040
LAB Type	Physician Office
Facility Name	PROMINA HEALTH, PC
Street	1606 PHYSICIANS DR, SUITE 102
City	WILMINGTON
State	NC
ZIP	28401
Phone	910 795-1395
CertificateType	3
CertificateEffectiveDate	1/24/2024
CertificateExpirationDate	1/23/2026
FacilityType	PPMP

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