34D2051191 CLIA NUMBER - CAROLINA OPHTHALMOLOGY ASSOCIATES

Laboratory Demographics

CLIA Number: 34D2051191

Facility Name: CAROLINA OPHTHALMOLOGY ASSOCIATES

Facility Address:
55 VILCOM CENTER DRIVE, SUITE 140
CHAPEL HILL, NC
ZIP 27514
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Facility Phone Number: 919 867-4826

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1881052025

Taxonomy: 1223P0700X - Dentist
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

CLIA Record

Field Name Field Value
CLIA Number 34D2051191
LAB Type Physician Office
Facility Name CAROLINA OPHTHALMOLOGY ASSOCIATES
Street 55 VILCOM CENTER DRIVE, SUITE 140
City CHAPEL HILL
State NC
ZIP 27514
Phone 919 867-4826
CertificateType 4
CertificateEffectiveDate 12/14/2022
CertificateExpirationDate 12/13/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024