34D2133675 CLIA NUMBER - MARIA PARHAM UROLOGY

Laboratory Demographics

  • CLIA Code: 34D2133675
  • Facility Name: MARIA PARHAM UROLOGY
  • Facility Address: 120 CHARLES ROLLINS ROAD, SUITE 105
    HENDERSON, NC
    ZIP 27536
  • Facility Phone: 252 438-2773
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ADRIAN M. OGLE
  • NPI Number: 1255854105
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 34D2133675
LAB Type Physician Office
Facility Name MARIA PARHAM UROLOGY
Street 120 CHARLES ROLLINS ROAD, SUITE 105
City HENDERSON
State NC
ZIP 27536
Phone 252 438-2773
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/18/2025
Certificate Expiration Date 7/17/2027
Facility Type Physician Office
Lab Director ADRIAN M. OGLE

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