34D2033936 CLIA NUMBER - ECU HEALTH GASTROENTEROLOGY - WASHINGTON

Laboratory Demographics

  • CLIA Code: 34D2033936
  • Facility Name: ECU HEALTH GASTROENTEROLOGY - WASHINGTON
  • Facility Address: 608 EAST 12TH STREET
    WASHINGTON, NC
    ZIP 27889
  • Facility Phone: 252 946-1573
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THOMAS A. RUFFOLO
  • NPI Number: 1407045149
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 34D2033936
LAB Type Physician Office
Facility Name ECU HEALTH GASTROENTEROLOGY - WASHINGTON
Street 608 EAST 12TH STREET
City WASHINGTON
State NC
ZIP 27889
Phone 252 946-1573
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2023
Certificate Expiration Date 12/12/2025
Facility Type Physician Office
Lab Director THOMAS A. RUFFOLO

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