34D2284010 CLIA NUMBER - HD MEDICAL DBA ENHANCE WELLNESS & MEDSPA - HAMPSTEAD

Laboratory Demographics

CLIA Number: 34D2284010

Facility Name: HD MEDICAL DBA ENHANCE WELLNESS & MEDSPA - HAMPSTEAD

Facility Address:
16717 HWY 17
HAMPSTEAD, NC
ZIP 28443
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Facility Phone Number: 910 270-0052

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1891481834

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	34D2284010
LAB Type	Physician Office
Facility Name	HD MEDICAL DBA ENHANCE WELLNESS & MEDSPA - HAMPSTEAD
Street	16717 HWY 17
City	HAMPSTEAD
State	NC
ZIP	28443
Phone	910 270-0052
CertificateType	4
CertificateEffectiveDate	6/15/2023
CertificateExpirationDate	6/14/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024