34D2109000 CLIA NUMBER - ROCKY MOUNT EYE PA

Laboratory Demographics

  • CLIA Code: 34D2109000
  • Facility Name: ROCKY MOUNT EYE PA
  • Facility Address: 450 JONES ROAD
    ROCKY MOUNT, NC
    ZIP 27804
  • Facility Phone: 252 443-1006
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THOMAS J. ROBERTSON
  • NPI Number: 1043691595
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 34D2109000
LAB Type Physician Office
Facility Name ROCKY MOUNT EYE PA
Street 450 JONES ROAD
City ROCKY MOUNT
State NC
ZIP 27804
Phone 252 443-1006
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/17/2024
Certificate Expiration Date 2/16/2026
Facility Type Physician Office
Lab Director THOMAS J. ROBERTSON

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