34D2162362 CLIA NUMBER - HERITAGE FAMILY HEALTH AND WELLNESS

Laboratory Demographics

CLIA Number: 34D2162362

Facility Name: HERITAGE FAMILY HEALTH AND WELLNESS

Facility Address:
190 CAROLINA DR
SNOW HILL, NC
ZIP 28580
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Facility Phone Number: 252 747-2204

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1972092054

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	34D2162362
LAB Type	Practitioner Other
Facility Name	HERITAGE FAMILY HEALTH AND WELLNESS
Street	190 CAROLINA DR
City	SNOW HILL
State	NC
ZIP	28580
Phone	252 747-2204
CertificateType	4
CertificateEffectiveDate	2/21/2023
CertificateExpirationDate	2/20/2025
FacilityType	Waiver

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