34D2244922 CLIA NUMBER - QUEST DIAGNOSTICS - FOUR OAKS

Laboratory Demographics

  • CLIA Code: 34D2244922
  • Facility Name: QUEST DIAGNOSTICS - FOUR OAKS
  • Facility Address: 864 BLACK CREEK RD
    FOUR OAKS, NC
    ZIP 27524
  • Facility Phone: 910 202-1771
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MR. SUZANNE FRASER
  • NPI Number: 1548914633
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 34D2244922
LAB Type Physician Office
Facility Name QUEST DIAGNOSTICS - FOUR OAKS
Street 864 BLACK CREEK RD
City FOUR OAKS
State NC
ZIP 27524
Phone 910 202-1771
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/2/2025
Certificate Expiration Date 6/1/2027
Facility Type Physician Office
Lab Director MR. SUZANNE FRASER

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