34D2104636 CLIA NUMBER - CLAYTON ENDOSCOPY CENTER

Laboratory Demographics

  • CLIA Code: 34D2104636
  • Facility Name: CLAYTON ENDOSCOPY CENTER
  • Facility Address: 900 SOUTH LOMBARD STREET SUITE 104
    CLAYTON, NC
    ZIP 27520
  • Facility Phone: 252 237-9310
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. SANJAY JEGANNATH
  • NPI Number: 1497084982
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D2104636
LAB Type Ambulatory Surgery Center
Facility Name CLAYTON ENDOSCOPY CENTER
Street 900 SOUTH LOMBARD STREET SUITE 104
City CLAYTON
State NC
ZIP 27520
Phone 252 237-9310
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2023
Certificate Expiration Date 11/8/2025
Facility Type Ambulatory Surgery Center
Lab Director DR. SANJAY JEGANNATH

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