34D2309588 CLIA NUMBER - CAROLINA'S MEDICAL AND WELLNESS CLINIC

Laboratory Demographics

  • CLIA Code: 34D2309588
  • Facility Name: CAROLINA'S MEDICAL AND WELLNESS CLINIC
  • Facility Address: 821 A S MAINST
    LAURINBURG, NC
    ZIP 28352
  • Facility Phone: 910 318-9999
  • Facility Type: Other - NP
  • Facility Type: Waiver
  • Lab Director: JENNIFER COUGHENOUR
  • NPI Number: 1942245204
  • Taxonomy: 174400000X - Specialist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 34D2309588
LAB Type Other - NP
Facility Name CAROLINA'S MEDICAL AND WELLNESS CLINIC
Street 821 A S MAINST
City LAURINBURG
State NC
ZIP 28352
Phone 910 318-9999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2024
Certificate Expiration Date 8/18/2026
Facility Type Other - NP
Lab Director JENNIFER COUGHENOUR

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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