34D2206921 CLIA NUMBER - TINSLEY SURGICAL, PA

Laboratory Demographics

  • CLIA Code: 34D2206921
  • Facility Name: TINSLEY SURGICAL, PA
  • Facility Address: 1717 SHIPYARD BLVD, SUITE 200
    WILMINGTON, NC
    ZIP 28403
  • Facility Phone: 910 769-2583
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ELLIS A. TINSLEY
  • NPI Number: 1407326291
  • Taxonomy: 2086S0129X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 34D2206921
LAB Type Physician Office
Facility Name TINSLEY SURGICAL, PA
Street 1717 SHIPYARD BLVD, SUITE 200
City WILMINGTON
State NC
ZIP 28403
Phone 910 769-2583
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2024
Certificate Expiration Date 12/22/2026
Facility Type Physician Office
Lab Director ELLIS A. TINSLEY

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