34D0930109 CLIA NUMBER - NASH OB-GYN ASSOCIATES, PA

Laboratory Demographics

  • CLIA Code: 34D0930109
  • Facility Name: NASH OB-GYN ASSOCIATES, PA
  • Facility Address: 200 NASH MEDICAL ARTS LAB
    ROCKY MOUNT, NC
    ZIP 27804
  • Facility Phone: 919 443-5941
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. KERRY BULLERDICK
  • NPI Number: 1730146267
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 34D0930109
LAB Type Physician Office
Facility Name NASH OB-GYN ASSOCIATES, PA
Street 200 NASH MEDICAL ARTS LAB
City ROCKY MOUNT
State NC
ZIP 27804
Phone 919 443-5941
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 5/15/2025
Certificate Expiration Date 5/14/2027
Facility Type Physician Office
Lab Director DR. KERRY BULLERDICK

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