34D0246316 CLIA NUMBER - WOMENS HEALTHCARE/EDWARDS DAVIS

Laboratory Demographics

CLIA Number: 34D0246316

Facility Name: WOMENS HEALTHCARE/EDWARDS DAVIS

Facility Address:
245 MEMORIAL DRIVE
JACKSONVILLE, NC
ZIP 28546
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Facility Phone Number: 919 353-4333

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1043273881

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	34D0246316
LAB Type	Physician Office
Facility Name	WOMENS HEALTHCARE/EDWARDS DAVIS
Street	245 MEMORIAL DRIVE
City	JACKSONVILLE
State	NC
ZIP	28546
Phone	919 353-4333
CertificateType	3
CertificateEffectiveDate	3/21/2024
CertificateExpirationDate	3/20/2026
FacilityType	PPMP

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This page was last updated on: 4/23/2024