34D2234563 CLIA NUMBER - PINEHURST MEDICAL CLINIC AT AVIEMORE DRIVE

Laboratory Demographics

  • CLIA Code: 34D2234563
  • Facility Name: PINEHURST MEDICAL CLINIC AT AVIEMORE DRIVE
  • Facility Address: 45 AVIEMORE DRIVE
    PINEHURST, NC
    ZIP 28374
  • Facility Phone: 910 235-3285
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VICKY M. BYRD
  • NPI Number: 1194757583
  • Taxonomy: 2085R0001X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 34D2234563
LAB Type Physician Office
Facility Name PINEHURST MEDICAL CLINIC AT AVIEMORE DRIVE
Street 45 AVIEMORE DRIVE
City PINEHURST
State NC
ZIP 28374
Phone 910 235-3285
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2025
Certificate Expiration Date 8/31/2027
Facility Type Physician Office
Lab Director VICKY M. BYRD

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