34D2009048 CLIA NUMBER - WILLIAMSON GYNECOLOGY

Laboratory Demographics

  • CLIA Code: 34D2009048
  • Facility Name: WILLIAMSON GYNECOLOGY
  • Facility Address: 300 PAVILION WAY, SUITE 100
    SOUTHERN PINES, NC
    ZIP 28387
  • Facility Phone: 910 215-0111
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CILE H. WILLIAMSON
  • NPI Number: 1295107449
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 34D2009048
LAB Type Physician Office
Facility Name WILLIAMSON GYNECOLOGY
Street 300 PAVILION WAY, SUITE 100
City SOUTHERN PINES
State NC
ZIP 28387
Phone 910 215-0111
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/24/2024
Certificate Expiration Date 6/23/2026
Facility Type Physician Office
Lab Director CILE H. WILLIAMSON

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