34D2296679 CLIA NUMBER - EBK HEALTHCARE SERVICES PLLC

Laboratory Demographics

  • CLIA Code: 34D2296679
  • Facility Name: EBK HEALTHCARE SERVICES PLLC
  • Facility Address: 2404-C MONTGOMERY DR SW
    WILSON, NC
    ZIP 27893
  • Facility Phone: 252 281-1006
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: ERICA KEARNEY
  • NPI Number: 1417643222
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D2296679
LAB Type Practitioner Other
Facility Name EBK HEALTHCARE SERVICES PLLC
Street 2404-C MONTGOMERY DR SW
City WILSON
State NC
ZIP 27893
Phone 252 281-1006
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/4/2024
Certificate Expiration Date 1/3/2026
Facility Type Practitioner Other
Lab Director ERICA KEARNEY

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