34D2161141 CLIA NUMBER - WOODLAND PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 34D2161141
  • Facility Name: WOODLAND PRIMARY CARE
  • Facility Address: 108 WEST MAIN STREET
    WOODLAND, NC
    ZIP 27897
  • Facility Phone: 252 587-3141
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: GENIENE W. JONES
  • NPI Number: 1023675113
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D2161141
LAB Type Federally Qualified Health Center
Facility Name WOODLAND PRIMARY CARE
Street 108 WEST MAIN STREET
City WOODLAND
State NC
ZIP 27897
Phone 252 587-3141
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2023
Certificate Expiration Date 9/30/2025
Facility Type Federally Qualified Health Center
Lab Director GENIENE W. JONES

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This page was last updated on: 6/4/2025