34D1057420 CLIA NUMBER - CAROLINA ENDOSCOPY CENTER - MONROE

Laboratory Demographics

  • CLIA Code: 34D1057420
  • Facility Name: CAROLINA ENDOSCOPY CENTER - MONROE
  • Facility Address: 1663 CAMPUS PARK DRIVE SUTE A
    MONROE, NC
    ZIP 28112
  • Facility Phone: 704 261-1220
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JESSICA SAUTER
  • NPI Number: 1619049939
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D1057420
LAB Type Physician Office
Facility Name CAROLINA ENDOSCOPY CENTER - MONROE
Street 1663 CAMPUS PARK DRIVE SUTE A
City MONROE
State NC
ZIP 28112
Phone 704 261-1220
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2024
Certificate Expiration Date 8/10/2026
Facility Type Physician Office
Lab Director JESSICA SAUTER

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