34D2306184 CLIA NUMBER - MCPC-12, LLC DBA FIRSTHEALTH SOUTHERN PINE WOMEN'S HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 34D2306184
  • Facility Name: MCPC-12, LLC DBA FIRSTHEALTH SOUTHERN PINE WOMEN'S HEALTH CENTER
  • Facility Address: 5 FIRST VILLAGE DRIVE
    PINEHURST, NC
    ZIP 28374
  • Facility Phone: 910 692-7928
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JOHN W. BYRON
  • NPI Number: 1003650391
  • Taxonomy: 207VF0040X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 34D2306184
LAB Type Physician Office
Facility Name MCPC-12, LLC DBA FIRSTHEALTH SOUTHERN PINE WOMEN'S HEALTH CENTER
Street 5 FIRST VILLAGE DRIVE
City PINEHURST
State NC
ZIP 28374
Phone 910 692-7928
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/12/2024
Certificate Expiration Date 6/11/2026
Facility Type Physician Office
Lab Director JOHN W. BYRON

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