34D2299408 CLIA NUMBER - LOCKLEAR PRIME AND URGENT CARE

Laboratory Demographics

  • CLIA Code: 34D2299408
  • Facility Name: LOCKLEAR PRIME AND URGENT CARE
  • Facility Address: 10459 HWY 711
    PEMBROKE, NC
    ZIP 28372
  • Facility Phone: 910 316-5462
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MILLICENT JOY LOCKLEAR
  • NPI Number: 1023870508
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 34D2299408
LAB Type Practitioner Other
Facility Name LOCKLEAR PRIME AND URGENT CARE
Street 10459 HWY 711
City PEMBROKE
State NC
ZIP 28372
Phone 910 316-5462
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/20/2024
Certificate Expiration Date 2/19/2026
Facility Type Practitioner Other
Lab Director MILLICENT JOY LOCKLEAR

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