34D2151613 CLIA NUMBER - DUKE HEALTH GASTROENTEROLOGY MOORESVILLE

Laboratory Demographics

  • CLIA Code: 34D2151613
  • Facility Name: DUKE HEALTH GASTROENTEROLOGY MOORESVILLE
  • Facility Address: 134 MEDICAL PARK ROAD, SUITE 108
    MOORESVILLE, NC
    ZIP 28117
  • Facility Phone: 704 660-2622
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN C. CLEMENTS
  • NPI Number: 1225008436
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 34D2151613
LAB Type Physician Office
Facility Name DUKE HEALTH GASTROENTEROLOGY MOORESVILLE
Street 134 MEDICAL PARK ROAD, SUITE 108
City MOORESVILLE
State NC
ZIP 28117
Phone 704 660-2622
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/24/2024
Certificate Expiration Date 7/23/2026
Facility Type Physician Office
Lab Director JOHN C. CLEMENTS

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