34D2086665 CLIA NUMBER - SEASHORE WOMENS HEALTH

Laboratory Demographics

  • CLIA Code: 34D2086665
  • Facility Name: SEASHORE WOMENS HEALTH
  • Facility Address: 1500 MEDICAL CENTER DRIVE
    WILMINGTON, NC
    ZIP 28401
  • Facility Phone: 910 833-7199
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: NADINE M. ANTONELLI
  • NPI Number: 1235511536
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 34D2086665
LAB Type Physician Office
Facility Name SEASHORE WOMENS HEALTH
Street 1500 MEDICAL CENTER DRIVE
City WILMINGTON
State NC
ZIP 28401
Phone 910 833-7199
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 11/7/2024
Certificate Expiration Date 11/6/2026
Facility Type Physician Office
Lab Director NADINE M. ANTONELLI

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