34D2232102 CLIA NUMBER - BEACH MEDICAL, PLLC

Laboratory Demographics

  • CLIA Code: 34D2232102
  • Facility Name: BEACH MEDICAL, PLLC
  • Facility Address: 5200 N CROATAN HWY SUITES 6,7,8
    KITTY HAWK, NC
    ZIP 27949
  • Facility Phone: 252 261-4187
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMES S. WILKINSON
  • NPI Number: 1861525404
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D2232102
LAB Type Physician Office
Facility Name BEACH MEDICAL, PLLC
Street 5200 N CROATAN HWY SUITES 6,7,8
City KITTY HAWK
State NC
ZIP 27949
Phone 252 261-4187
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2025
Certificate Expiration Date 8/9/2027
Facility Type Physician Office
Lab Director JAMES S. WILKINSON

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