34D0718713 CLIA NUMBER - WILSON UROLOGY

Laboratory Demographics

  • CLIA Code: 34D0718713
  • Facility Name: WILSON UROLOGY
  • Facility Address: 1700 TARBARO ST SW ST 203
    WILSON, NC
    ZIP 27893
  • Facility Phone: 252 399-5300
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DAVID A. DUVERNOIS
  • NPI Number: 1992762728
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 34D0718713
LAB Type Physician Office
Facility Name WILSON UROLOGY
Street 1700 TARBARO ST SW ST 203
City WILSON
State NC
ZIP 27893
Phone 252 399-5300
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 5/27/2024
Certificate Expiration Date 5/26/2026
Facility Type Physician Office
Lab Director DAVID A. DUVERNOIS

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