34D0962191 CLIA NUMBER - GOLDSBORO MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 34D0962191
  • Facility Name: GOLDSBORO MEDICAL CENTER
  • Facility Address: 2400 WAYNE MEMORIAL DR STE J
    GOLDSBORO, NC
    ZIP 27534
  • Facility Phone: 919 739-9599
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MUIN M. DUGAM MD
  • NPI Number: 1598943813
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D0962191
LAB Type Physician Office
Facility Name GOLDSBORO MEDICAL CENTER
Street 2400 WAYNE MEMORIAL DR STE J
City GOLDSBORO
State NC
ZIP 27534
Phone 919 739-9599
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/25/2025
Certificate Expiration Date 6/24/2027
Facility Type Physician Office
Lab Director MUIN M. DUGAM MD

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