34D0693011 CLIA NUMBER - DANIEL M RICCI MD PA

Laboratory Demographics

  • CLIA Code: 34D0693011
  • Facility Name: DANIEL M RICCI MD PA
  • Facility Address: 207 EAST MURPHY STREET
    WALLACE, NC
    ZIP 28466
  • Facility Phone: 910 285-4100
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DANIEL M. RICCI MD
  • NPI Number: 1528067519
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D0693011
LAB Type Physician Office
Facility Name DANIEL M RICCI MD PA
Street 207 EAST MURPHY STREET
City WALLACE
State NC
ZIP 28466
Phone 910 285-4100
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 DANIEL M. RICCI MD

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