34D0239482 CLIA NUMBER - CARY OB/GYN

Laboratory Demographics

  • CLIA Code: 34D0239482
  • Facility Name: CARY OB/GYN
  • Facility Address: 550 NEW WAVERLY PLACE, SUITE 120
    CARY, NC
    ZIP 27518
  • Facility Phone: 919 467-5941
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ELITA N. WYCKOFF
  • NPI Number: 1538560966
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 34D0239482
LAB Type Physician Office
Facility Name CARY OB/GYN
Street 550 NEW WAVERLY PLACE, SUITE 120
City CARY
State NC
ZIP 27518
Phone 919 467-5941
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director ELITA N. WYCKOFF

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