34D2303128 CLIA NUMBER - ISLAND DNA & TESTING CENTER LLC

Laboratory Demographics

  • CLIA Code: 34D2303128
  • Facility Name: ISLAND DNA & TESTING CENTER LLC
  • Facility Address: 2620 BRAG BLVD SUITE N
    FAYETTEVILLE, NC
    ZIP 28303
  • Facility Phone: 910 861-0853
  • Facility Type: Other - TEMPORARY SITES
  • Facility Type: Waiver
  • Lab Director: TIFFANY T. THOMPSON
  • NPI Number: 1366296972
  • Taxonomy: 246RP1900X - Technician, Pathology

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CLIA Record

Field Name Field Value
CLIA Number 34D2303128
LAB Type Other - TEMPORARY SITES
Facility Name ISLAND DNA & TESTING CENTER LLC
Street 2620 BRAG BLVD SUITE N
City FAYETTEVILLE
State NC
ZIP 28303
Phone 910 861-0853
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/22/2024
Certificate Expiration Date 4/21/2026
Facility Type Other - TEMPORARY SITES
Lab Director TIFFANY T. THOMPSON

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