34D2302462 CLIA NUMBER - PHILIPP C WIRTH MD PLLC

Laboratory Demographics

  • CLIA Code: 34D2302462
  • Facility Name: PHILIPP C WIRTH MD PLLC
  • Facility Address: 80 AVIEMORE CT SUITE D
    PINEHURST, NC
    ZIP 28374
  • Facility Phone: (315) 729-0767
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PHILIPP C. WIRTH
  • NPI Number: 1306602594
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D2302462
LAB Type Physician Office
Facility Name PHILIPP C WIRTH MD PLLC
Street 80 AVIEMORE CT SUITE D
City PINEHURST
State NC
ZIP 28374
Phone 3157290767
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/10/2026
Certificate Expiration Date 4/9/2028
Facility Type Physician Office
Lab Director PHILIPP C. WIRTH

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This page was last updated on: 5/18/2026