34D2113253 CLIA NUMBER - NOVANT HEALTH BRUNSWICK OB/GYN & MIDWIFERY - SOUTHPORT

Laboratory Demographics

  • CLIA Code: 34D2113253
  • Facility Name: NOVANT HEALTH BRUNSWICK OB/GYN & MIDWIFERY - SOUTHPORT
  • Facility Address: 1456 HOWE STREET, SUITE 201
    SOUTHPORT, NC
    ZIP 28461
  • Facility Phone: 910 721-4050
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: STEVEN NUNNS
  • NPI Number: 1205884970
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 34D2113253
LAB Type Physician Office
Facility Name NOVANT HEALTH BRUNSWICK OB/GYN & MIDWIFERY - SOUTHPORT
Street 1456 HOWE STREET, SUITE 201
City SOUTHPORT
State NC
ZIP 28461
Phone 910 721-4050
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 2/1/2025
Certificate Expiration Date 1/31/2027
Facility Type Physician Office
Lab Director STEVEN NUNNS

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This page was last updated on: 6/4/2025