34D2284752 CLIA NUMBER - CCHC - CREEKSIDE PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 34D2284752
  • Facility Name: CCHC - CREEKSIDE PRIMARY CARE
  • Facility Address: 1010 LATHAN LN
    NEW BERN, NC
    ZIP 28562
  • Facility Phone: 252 672-0224
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RONALD LATHER
  • NPI Number: 1073911822
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D2284752
LAB Type Physician Office
Facility Name CCHC - CREEKSIDE PRIMARY CARE
Street 1010 LATHAN LN
City NEW BERN
State NC
ZIP 28562
Phone 252 672-0224
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/28/2025
Certificate Expiration Date 6/27/2027
Facility Type Physician Office
Lab Director RONALD LATHER

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