34D2001052 CLIA NUMBER - CGS ENDOSCOPY CENTER PLLC

Laboratory Demographics

  • CLIA Code: 34D2001052
  • Facility Name: CGS ENDOSCOPY CENTER PLLC
  • Facility Address: 3520 AIRPORT BLVD STE F
    WILSON, NC
    ZIP 27896
  • Facility Phone: 252 206-5622
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: VENKATESH LAKSHMAN
  • NPI Number: 1063667020
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D2001052
LAB Type Ambulatory Surgery Center
Facility Name CGS ENDOSCOPY CENTER PLLC
Street 3520 AIRPORT BLVD STE F
City WILSON
State NC
ZIP 27896
Phone 252 206-5622
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/11/2023
Certificate Expiration Date 12/10/2025
Facility Type Ambulatory Surgery Center
Lab Director VENKATESH LAKSHMAN

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This page was last updated on: 6/4/2025