34D2122898 CLIA NUMBER - PEC OPTOMETRY GROUP, PA

Laboratory Demographics

  • CLIA Code: 34D2122898
  • Facility Name: PEC OPTOMETRY GROUP, PA
  • Facility Address: 305 WEST ROSEBORO STREET
    ROSEBORO, NC
    ZIP 28382
  • Facility Phone: 910 525-5296
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROY MAX RAYNOR JR
  • NPI Number: 1114504958
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 34D2122898
LAB Type Physician Office
Facility Name PEC OPTOMETRY GROUP, PA
Street 305 WEST ROSEBORO STREET
City ROSEBORO
State NC
ZIP 28382
Phone 910 525-5296
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/8/2024
Certificate Expiration Date 12/7/2026
Facility Type Physician Office
Lab Director ROY MAX RAYNOR JR

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