34D2149876 CLIA NUMBER - ST LUKE'S MEDICAL PRACTICE

Laboratory Demographics

  • CLIA Code: 34D2149876
  • Facility Name: ST LUKE'S MEDICAL PRACTICE
  • Facility Address: 334 MILL CREEK ROAD, SUITE D
    CARTHAGE, NC
    ZIP 28327
  • Facility Phone: 910 725-0809
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT L. DEUCHER
  • NPI Number: 1760859516
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D2149876
LAB Type Physician Office
Facility Name ST LUKE'S MEDICAL PRACTICE
Street 334 MILL CREEK ROAD, SUITE D
City CARTHAGE
State NC
ZIP 28327
Phone 910 725-0809
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/12/2024
Certificate Expiration Date 6/11/2026
Facility Type Physician Office
Lab Director ROBERT L. DEUCHER

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