34D2006102 CLIA NUMBER - FIRSTHEALTH RICHMOND MEDICAL GROUP WOMEN'S CENTER

Laboratory Demographics

  • CLIA Code: 34D2006102
  • Facility Name: FIRSTHEALTH RICHMOND MEDICAL GROUP WOMEN'S CENTER
  • Facility Address: 921 S LONG DRIVE, SUITE 205
    ROCKINGHAM, NC
    ZIP 28379
  • Facility Phone: 910 417-3477
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MOHAMED IBRAHIM
  • NPI Number: 1952534778
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 34D2006102
LAB Type Physician Office
Facility Name FIRSTHEALTH RICHMOND MEDICAL GROUP WOMEN'S CENTER
Street 921 S LONG DRIVE, SUITE 205
City ROCKINGHAM
State NC
ZIP 28379
Phone 910 417-3477
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/12/2024
Certificate Expiration Date 4/11/2026
Facility Type Physician Office
Lab Director MOHAMED IBRAHIM

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