34D2227965 CLIA NUMBER - D-POM, LLC

Laboratory Demographics

  • CLIA Code: 34D2227965
  • Facility Name: D-POM, LLC
  • Facility Address: 2109 SAINT ANDREWS ST
    TARBORO, NC
    ZIP 27886
  • Facility Phone: 919 766-8791
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: KELLY M. WALTON BEAN
  • NPI Number: 1336291699
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D2227965
LAB Type Physician Office
Facility Name D-POM, LLC
Street 2109 SAINT ANDREWS ST
City TARBORO
State NC
ZIP 27886
Phone 919 766-8791
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 5/18/2024
Certificate Expiration Date 5/17/2026
Facility Type Physician Office
Lab Director KELLY M. WALTON BEAN

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