34D0998254 CLIA NUMBER - CELIA MENDES MD PA

Laboratory Demographics

  • CLIA Code: 34D0998254
  • Facility Name: CELIA MENDES MD PA
  • Facility Address: 1357 WALTER REED ROAD STE 201
    FAYETTEVILLE, NC
    ZIP 28304
  • Facility Phone: 910 486-6400
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CELIA M. MENDES MD
  • NPI Number: 1952411498
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 34D0998254
LAB Type Physician Office
Facility Name CELIA MENDES MD PA
Street 1357 WALTER REED ROAD STE 201
City FAYETTEVILLE
State NC
ZIP 28304
Phone 910 486-6400
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 3/8/2024
Certificate Expiration Date 3/7/2026
Facility Type Physician Office
Lab Director CELIA M. MENDES MD

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