34D2166155 CLIA NUMBER - PINEHURST MEDICAL CLINIC MURDOCKSVILLE ROAD

Laboratory Demographics

CLIA Number: 34D2166155

Facility Name: PINEHURST MEDICAL CLINIC MURDOCKSVILLE ROAD

Facility Address:
4208 MURDOCKSVILLE ROAD
WEST END, NC
ZIP 27376
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Facility Phone Number: 910 235-3285

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1598097289

Taxonomy: 207PE0005X - Emergency Medicine
A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns, and bone infections. This specialist also serves as a consultant to other physicians in all aspects of hyperbaric chamber operations, and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.

CLIA Record

Field Name	Field Value
CLIA Number	34D2166155
LAB Type	Physician Office
Facility Name	PINEHURST MEDICAL CLINIC MURDOCKSVILLE ROAD
Street	4208 MURDOCKSVILLE ROAD
City	WEST END
State	NC
ZIP	27376
Phone	910 235-3285
CertificateType	4
CertificateEffectiveDate	5/14/2023
CertificateExpirationDate	5/13/2025
FacilityType	Waiver

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