34D2059669 CLIA NUMBER - ALBEMARLE CLINICAL TRIALS, LLC

Laboratory Demographics

  • CLIA Code: 34D2059669
  • Facility Name: ALBEMARLE CLINICAL TRIALS, LLC
  • Facility Address: 1503 N ROAD STREET
    ELIZABETH CITY, NC
    ZIP 27909
  • Facility Phone: 252 331-2314
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JITENDRA SWARUP
  • NPI Number: 1538645825
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 34D2059669
LAB Type Physician Office
Facility Name ALBEMARLE CLINICAL TRIALS, LLC
Street 1503 N ROAD STREET
City ELIZABETH CITY
State NC
ZIP 27909
Phone 252 331-2314
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/29/2025
Certificate Expiration Date 5/28/2027
Facility Type Physician Office
Lab Director JITENDRA SWARUP

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