34D2308763 CLIA NUMBER - OIC FAMILY MEDICAL CENTER SUNSET AVENUE

Laboratory Demographics

  • CLIA Code: 34D2308763
  • Facility Name: OIC FAMILY MEDICAL CENTER SUNSET AVENUE
  • Facility Address: 2309 SUNSET AVENUE
    ROCKY MOUNT, NC
    ZIP 27804
  • Facility Phone: 252 210-9856
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: TISA ROBERTS
  • NPI Number: 1528478237
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D2308763
LAB Type Federally Qualified Health Center
Facility Name OIC FAMILY MEDICAL CENTER SUNSET AVENUE
Street 2309 SUNSET AVENUE
City ROCKY MOUNT
State NC
ZIP 27804
Phone 252 210-9856
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/2/2024
Certificate Expiration Date 8/1/2026
Facility Type Federally Qualified Health Center
Lab Director TISA ROBERTS

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