34D1056348 CLIA NUMBER - BOICE WILLIS CLINIC-ENDOSCOPY CENTER

Laboratory Demographics

  • CLIA Code: 34D1056348
  • Facility Name: BOICE WILLIS CLINIC-ENDOSCOPY CENTER
  • Facility Address: ROCKY MOUNT MEDICAL PARK 901 N WINSTEAD AVE STE 310
    ROCKY MOUNT, NC
    ZIP 27804
  • Facility Phone: 252 937-0299
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. ROBERT SCHELLENBERG
  • NPI Number: 1598911885
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 34D1056348
LAB Type Ambulatory Surgery Center
Facility Name BOICE WILLIS CLINIC-ENDOSCOPY CENTER
Street ROCKY MOUNT MEDICAL PARK 901 N WINSTEAD AVE STE 310
City ROCKY MOUNT
State NC
ZIP 27804
Phone 252 937-0299
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2024
Certificate Expiration Date 7/12/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. ROBERT SCHELLENBERG

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