34D2250694 CLIA NUMBER - 360 WELLNESS & NUTRITION, PA

Laboratory Demographics

  • CLIA Code: 34D2250694
  • Facility Name: 360 WELLNESS & NUTRITION, PA
  • Facility Address: 2500 NASH STREET N, STE B
    WILSON, NC
    ZIP 27896
  • Facility Phone: 252 237-1225
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THOMAS E. HOOPER
  • NPI Number: 1316603285
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D2250694
LAB Type Physician Office
Facility Name 360 WELLNESS & NUTRITION, PA
Street 2500 NASH STREET N, STE B
City WILSON
State NC
ZIP 27896
Phone 252 237-1225
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2024
Certificate Expiration Date 1/27/2026
Facility Type Physician Office
Lab Director THOMAS E. HOOPER

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