34D1004739 CLIA NUMBER - HALIFAX GASTROENTEROLOGY PC

Laboratory Demographics

  • CLIA Code: 34D1004739
  • Facility Name: HALIFAX GASTROENTEROLOGY PC
  • Facility Address: 1007 GREGORY DRIVE
    ROANOKE RAPIDS, NC
    ZIP 27870
  • Facility Phone: 252 535-6478
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NAGARJUNA YERRA MD
  • NPI Number: 1306855770
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D1004739
LAB Type Physician Office
Facility Name HALIFAX GASTROENTEROLOGY PC
Street 1007 GREGORY DRIVE
City ROANOKE RAPIDS
State NC
ZIP 27870
Phone 252 535-6478
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2024
Certificate Expiration Date 10/3/2026
Facility Type Physician Office
Lab Director NAGARJUNA YERRA MD

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