34D2329994 CLIA NUMBER - MINDFUL PATHWAYS PSYCHIATRIC SERVICES

Laboratory Demographics

  • CLIA Code: 34D2329994
  • Facility Name: MINDFUL PATHWAYS PSYCHIATRIC SERVICES
  • Facility Address: 5010 RANDALL PKWY
    WILMINGTON, NC
    ZIP 28403
  • Facility Phone: 910 791-5719
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DANIELLE A. KURTZ
  • NPI Number: 1184458143
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 34D2329994
LAB Type Practitioner Other
Facility Name MINDFUL PATHWAYS PSYCHIATRIC SERVICES
Street 5010 RANDALL PKWY
City WILMINGTON
State NC
ZIP 28403
Phone 910 791-5719
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/9/2025
Certificate Expiration Date 9/8/2027
Facility Type Practitioner Other
Lab Director DANIELLE A. KURTZ

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