34D0242465 CLIA NUMBER - SENTARA OBSTETRICS/ GYNECOLOGY AND MIDWIFERY SPECIALISTS - ELIZABETH CITY APS

Laboratory Demographics

  • CLIA Code: 34D0242465
  • Facility Name: SENTARA OBSTETRICS/ GYNECOLOGY AND MIDWIFERY SPECIALISTS - ELIZABETH CITY APS
  • Facility Address: 112 MEDICAL DRIVE
    ELIZABETH CITY, NC
    ZIP 27909
  • Facility Phone: 252 384-2610
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PAUL L. STEVENSON
  • NPI Number: 1609162023
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 34D0242465
LAB Type Physician Office
Facility Name SENTARA OBSTETRICS/ GYNECOLOGY AND MIDWIFERY SPECIALISTS - ELIZABETH CITY APS
Street 112 MEDICAL DRIVE
City ELIZABETH CITY
State NC
ZIP 27909
Phone 252 384-2610
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 PAUL L. STEVENSON

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