34D2240384 CLIA NUMBER - ADVANCED IMAGING - LELAND

Laboratory Demographics

  • CLIA Code: 34D2240384
  • Facility Name: ADVANCED IMAGING - LELAND
  • Facility Address: 509 OLDE WATERFORD WAY
    LELAND, NC
    ZIP 28451
  • Facility Phone: 910 640-4380
  • Facility Type: Other - IDTF
  • Facility Type: Waiver
  • Lab Director: PETER CHAMBER
  • NPI Number: 1114684941
  • Taxonomy: 293D00000X - Physiological Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 34D2240384
LAB Type Other - IDTF
Facility Name ADVANCED IMAGING - LELAND
Street 509 OLDE WATERFORD WAY
City LELAND
State NC
ZIP 28451
Phone 910 640-4380
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2025
Certificate Expiration Date 10/18/2027
Facility Type Other - IDTF
Lab Director PETER CHAMBER

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