34D2098612 CLIA NUMBER - WILSON PREGNANCY CENTER

Laboratory Demographics

  • CLIA Code: 34D2098612
  • Facility Name: WILSON PREGNANCY CENTER
  • Facility Address: 702 WEST BROAD STREET
    WILSON, NC
    ZIP 27893
  • Facility Phone: 252 237-6833
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: SUSAN M. BANE
  • NPI Number: 1497141550
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 34D2098612
LAB Type Practitioner Other
Facility Name WILSON PREGNANCY CENTER
Street 702 WEST BROAD STREET
City WILSON
State NC
ZIP 27893
Phone 252 237-6833
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/10/2025
Certificate Expiration Date 7/9/2027
Facility Type Practitioner Other
Lab Director SUSAN M. BANE

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