34D2252611 CLIA NUMBER - SOUTHEASTERN INTEGRATED CARE, LLC

Laboratory Demographics

  • CLIA Code: 34D2252611
  • Facility Name: SOUTHEASTERN INTEGRATED CARE, LLC
  • Facility Address: 86 THREE HUNTS DRIVE
    PEMBROKE, NC
    ZIP 28372
  • Facility Phone: 910 522-0408
  • Facility Type: Other - MENTAL HEALTH AGENCY
  • Facility Type: Waiver
  • Lab Director: NANCI BREWINGTON
  • NPI Number: 1245681048
  • Taxonomy: 261QP2300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 34D2252611
LAB Type Other - MENTAL HEALTH AGENCY
Facility Name SOUTHEASTERN INTEGRATED CARE, LLC
Street 86 THREE HUNTS DRIVE
City PEMBROKE
State NC
ZIP 28372
Phone 910 522-0408
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2024
Certificate Expiration Date 2/13/2026
Facility Type Other - MENTAL HEALTH AGENCY
Lab Director NANCI BREWINGTON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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