34D0246078 CLIA NUMBER - WALTERS SURGICAL ASSOCIATES

Laboratory Demographics

  • CLIA Code: 34D0246078
  • Facility Name: WALTERS SURGICAL ASSOCIATES
  • Facility Address: 220 JEFFERSON ST
    WHITEVILLE, NC
    ZIP 28472
  • Facility Phone: 910 642-3214
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RONALD M. WALTERS MD
  • NPI Number: 1942265301
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 34D0246078
LAB Type Physician Office
Facility Name WALTERS SURGICAL ASSOCIATES
Street 220 JEFFERSON ST
City WHITEVILLE
State NC
ZIP 28472
Phone 910 642-3214
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director RONALD M. WALTERS MD

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