34D2247863 CLIA NUMBER - DIGESTIVE ASC LLC

Laboratory Demographics

  • CLIA Code: 34D2247863
  • Facility Name: DIGESTIVE ASC LLC
  • Facility Address: 649 GUY ROAD
    CLAYTON, NC
    ZIP 27520
  • Facility Phone: 919 938-4404
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER JORDAN
  • NPI Number: 1558951319
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D2247863
LAB Type Physician Office
Facility Name DIGESTIVE ASC LLC
Street 649 GUY ROAD
City CLAYTON
State NC
ZIP 27520
Phone 919 938-4404
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2024
Certificate Expiration Date 1/9/2026
Facility Type Physician Office
Lab Director CHRISTOPHER JORDAN

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