34D2144452 CLIA NUMBER - CAROLINA ELITE WOMEN'S CARE, PA

Laboratory Demographics

CLIA Code: 34D2144452
Facility Name: CAROLINA ELITE WOMEN'S CARE, PA
Facility Address: 901 US 70 W STE 100
GARNER, NC
ZIP 27529
Facility Phone: 252 258-4838
Facility Type: Physician Office
Facility Type: Microscopy
Lab Director: RANDOLPH D. SCOTT
NPI Number: 1316080039
Taxonomy: 320800000X - Community Based Residential Treatment Facility, Mental Illness

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CLIA Record

Field Name	Field Value
CLIA Number	34D2144452
LAB Type	Physician Office
Facility Name	CAROLINA ELITE WOMEN'S CARE, PA
Street	901 US 70 W STE 100
City	GARNER
State	NC
ZIP	27529
Phone	252 258-4838
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	2/16/2024
Certificate Expiration Date	2/15/2026
Facility Type	Physician Office
Lab Director	RANDOLPH D. SCOTT

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