34D0878713 CLIA NUMBER - WILSON OB-GYN

Laboratory Demographics

  • CLIA Code: 34D0878713
  • Facility Name: WILSON OB-GYN
  • Facility Address: 2500 HORTON BOULEVARD SW
    WILSON, NC
    ZIP 27893
  • Facility Phone: 252 206-1000
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: TRACY S. FORREST
  • NPI Number: 1255390225
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 34D0878713
LAB Type Physician Office
Facility Name WILSON OB-GYN
Street 2500 HORTON BOULEVARD SW
City WILSON
State NC
ZIP 27893
Phone 252 206-1000
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 2/15/2025
Certificate Expiration Date 2/14/2027
Facility Type Physician Office
Lab Director TRACY S. FORREST

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