34D0938068 CLIA NUMBER - EASTERN DERMATOLOGY AND PATHOLOGY, PA

Laboratory Demographics

  • CLIA Code: 34D0938068
  • Facility Name: EASTERN DERMATOLOGY AND PATHOLOGY, PA
  • Facility Address: 204 EARNHARDT DRIVE
    EDENTON, NC
    ZIP 27932
  • Facility Phone: 252 752-4124
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JOHN A. PAPALAS
  • NPI Number: 1760713671
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 34D0938068
LAB Type Physician Office
Facility Name EASTERN DERMATOLOGY AND PATHOLOGY, PA
Street 204 EARNHARDT DRIVE
City EDENTON
State NC
ZIP 27932
Phone 252 752-4124
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 12/30/2023
Certificate Expiration Date 12/29/2025
Facility Type Physician Office
Lab Director JOHN A. PAPALAS

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