34D1052230 CLIA NUMBER - EAGLE ENDOSCOPY CENTER

Laboratory Demographics

  • CLIA Code: 34D1052230
  • Facility Name: EAGLE ENDOSCOPY CENTER
  • Facility Address: 1002 N CHURCH ST STE 201
    GREENSBORO, NC
    ZIP 27401
  • Facility Phone: 336 268-3880
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MARC MAGOD
  • NPI Number: 1396852570
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D1052230
LAB Type Ambulatory Surgery Center
Facility Name EAGLE ENDOSCOPY CENTER
Street 1002 N CHURCH ST STE 201
City GREENSBORO
State NC
ZIP 27401
Phone 336 268-3880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/21/2024
Certificate Expiration Date 3/20/2026
Facility Type Ambulatory Surgery Center
Lab Director MARC MAGOD

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