34D0944453 CLIA NUMBER - CAROLINA DIGESTIVE DISEASE, PA

Laboratory Demographics

  • CLIA Code: 34D0944453
  • Facility Name: CAROLINA DIGESTIVE DISEASE, PA
  • Facility Address: 704 W H SMITH BOULEVARD
    GREENVILLE, NC
    ZIP 27834
  • Facility Phone: 252 830-2121
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PHILLIP GOLDSTEIN
  • NPI Number: 1780128553
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D0944453
LAB Type Physician Office
Facility Name CAROLINA DIGESTIVE DISEASE, PA
Street 704 W H SMITH BOULEVARD
City GREENVILLE
State NC
ZIP 27834
Phone 252 830-2121
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/13/2024
Certificate Expiration Date 4/12/2026
Facility Type Physician Office
Lab Director PHILLIP GOLDSTEIN

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