34D2042916 CLIA NUMBER - PEC OPTOMERTRY GROUP, PA

Laboratory Demographics

  • CLIA Code: 34D2042916
  • Facility Name: PEC OPTOMERTRY GROUP, PA
  • Facility Address: 124 E MAIN ST
    CLINTON, NC
    ZIP 28328
  • Facility Phone: 910 592-1908
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROY MAX RAYNOR JR
  • NPI Number: 1922685767
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 34D2042916
LAB Type Physician Office
Facility Name PEC OPTOMERTRY GROUP, PA
Street 124 E MAIN ST
City CLINTON
State NC
ZIP 28328
Phone 910 592-1908
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2024
Certificate Expiration Date 6/21/2026
Facility Type Physician Office
Lab Director ROY MAX RAYNOR JR

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