34D2111936 CLIA NUMBER - APP-ECP, LLC AT WILSON MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 34D2111936
  • Facility Name: APP-ECP, LLC AT WILSON MEDICAL CENTER
  • Facility Address: 1705 TARBORO STREET SW ATTENTION PATHOLOGY DEPARTMENT
    WILSON, NC
    ZIP 27893
  • Facility Phone: 252 399-8723
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. BENJAMIN L. COULTER
  • NPI Number: 1386123842
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 34D2111936
LAB Type Independent
Facility Name APP-ECP, LLC AT WILSON MEDICAL CENTER
Street 1705 TARBORO STREET SW ATTENTION PATHOLOGY DEPARTMENT
City WILSON
State NC
ZIP 27893
Phone 252 399-8723
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 4/12/2025
Certificate Expiration Date 4/11/2027
Facility Type Independent
Lab Director DR. BENJAMIN L. COULTER

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