34D2129112 CLIA NUMBER - PROGRESSIVE CARE SERVICES, INC

Laboratory Demographics

  • CLIA Code: 34D2129112
  • Facility Name: PROGRESSIVE CARE SERVICES, INC
  • Facility Address: 2747 SUNSET AVENUE, SUITE 109
    ROCKY MOUNT, NC
    ZIP 27804
  • Facility Phone: 252 985-3216
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: VICTOR R. MOORE JR
  • NPI Number: 1760620520
  • Taxonomy: 261QM0855X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D2129112
LAB Type Community Clinic
Facility Name PROGRESSIVE CARE SERVICES, INC
Street 2747 SUNSET AVENUE, SUITE 109
City ROCKY MOUNT
State NC
ZIP 27804
Phone 252 985-3216
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/12/2025
Certificate Expiration Date 4/11/2027
Facility Type Community Clinic
Lab Director VICTOR R. MOORE JR

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