34D0239940 CLIA NUMBER - WAYNE WOMEN'S CLINIC

Laboratory Demographics

  • CLIA Code: 34D0239940
  • Facility Name: WAYNE WOMEN'S CLINIC
  • Facility Address: 102 HANDLEY PARK CT
    GOLDSBORO, NC
    ZIP 27534
  • Facility Phone: 919 734-3344
  • Facility Type: Practitioner Other
  • Facility Type: Microscopy
  • Lab Director: STEPHEN C. LIES
  • NPI Number: 1619378551
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 34D0239940
LAB Type Practitioner Other
Facility Name WAYNE WOMEN'S CLINIC
Street 102 HANDLEY PARK CT
City GOLDSBORO
State NC
ZIP 27534
Phone 919 734-3344
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 Practitioner Other
Lab Director STEPHEN C. LIES

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