34D1003019 CLIA NUMBER - GYNECOLOGY & LAPAROSCOPIC SURGEONS PC

Laboratory Demographics

  • CLIA Code: 34D1003019
  • Facility Name: GYNECOLOGY & LAPAROSCOPIC SURGEONS PC
  • Facility Address: 10941 RAVEN RIDGE RD STE 109
    RALEIGH, NC
    ZIP 27614
  • Facility Phone: 919 847-2705
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: LISA M. ROBERTS MD
  • NPI Number: 1578527446
  • Taxonomy: 207VG0400X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 34D1003019
LAB Type Physician Office
Facility Name GYNECOLOGY & LAPAROSCOPIC SURGEONS PC
Street 10941 RAVEN RIDGE RD STE 109
City RALEIGH
State NC
ZIP 27614
Phone 919 847-2705
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 8/20/2024
Certificate Expiration Date 8/19/2026
Facility Type Physician Office
Lab Director LISA M. ROBERTS MD

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