34D1007900 CLIA NUMBER - CENTRAL CAROLINA GYNECOLOGY AND AESTHETICS

Laboratory Demographics

  • CLIA Code: 34D1007900
  • Facility Name: CENTRAL CAROLINA GYNECOLOGY AND AESTHETICS
  • Facility Address: 127 NORTH STEELE STREET
    SANFORD, NC
    ZIP 27330
  • Facility Phone: 919 776-7640
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PAUL M. HEIMBECKER
  • NPI Number: 1396719266
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 34D1007900
LAB Type Physician Office
Facility Name CENTRAL CAROLINA GYNECOLOGY AND AESTHETICS
Street 127 NORTH STEELE STREET
City SANFORD
State NC
ZIP 27330
Phone 919 776-7640
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 1/6/2025
Certificate Expiration Date 1/5/2027
Facility Type Physician Office
Lab Director PAUL M. HEIMBECKER

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