34D2190274 CLIA NUMBER - PROGRESS MEDICAL, PLLC

Laboratory Demographics

  • CLIA Code: 34D2190274
  • Facility Name: PROGRESS MEDICAL, PLLC
  • Facility Address: 1642 MILITARY CUTOFF RD
    WILMINGTON, NC
    ZIP 28403
  • Facility Phone: 910 239-9347
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSHUA D. DOBSTAFF
  • NPI Number: 1104431725
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D2190274
LAB Type Physician Office
Facility Name PROGRESS MEDICAL, PLLC
Street 1642 MILITARY CUTOFF RD
City WILMINGTON
State NC
ZIP 28403
Phone 910 239-9347
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2024
Certificate Expiration Date 8/10/2026
Facility Type Physician Office
Lab Director JOSHUA D. DOBSTAFF

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