34D2148946 CLIA NUMBER - RALEIGH OB/GYN CENTRE

Laboratory Demographics

  • CLIA Code: 34D2148946
  • Facility Name: RALEIGH OB/GYN CENTRE
  • Facility Address: 11009 INGLESIDE PLACE SUITE 301
    RALEIGH, NC
    ZIP 27614
  • Facility Phone: 919 876-8225
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DAWN S. TROLLIP
  • NPI Number: 1003878224
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 34D2148946
LAB Type Physician Office
Facility Name RALEIGH OB/GYN CENTRE
Street 11009 INGLESIDE PLACE SUITE 301
City RALEIGH
State NC
ZIP 27614
Phone 919 876-8225
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 5/22/2024
Certificate Expiration Date 5/21/2026
Facility Type Physician Office
Lab Director DAWN S. TROLLIP

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