34D2301947 CLIA NUMBER - THE EARLENE CLINIC

Laboratory Demographics

  • CLIA Code: 34D2301947
  • Facility Name: THE EARLENE CLINIC
  • Facility Address: 921 E BROAD AVE
    ROCKINGHAM, NC
    ZIP 28379
  • Facility Phone: 910 517-8080
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RONALD K. BAILEY
  • NPI Number: 1437920030
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D2301947
LAB Type Physician Office
Facility Name THE EARLENE CLINIC
Street 921 E BROAD AVE
City ROCKINGHAM
State NC
ZIP 28379
Phone 910 517-8080
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2024
Certificate Expiration Date 4/2/2026
Facility Type Physician Office
Lab Director RONALD K. BAILEY

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