34D2305879 CLIA NUMBER - WILMINGTON ASC, LLC DBA WILMINGTON HEALTH ENDOSCOPY AND SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 34D2305879
  • Facility Name: WILMINGTON ASC, LLC DBA WILMINGTON HEALTH ENDOSCOPY AND SURGERY CENTER
  • Facility Address: 2421 SILVER STREAM LN
    WILMINGTON, NC
    ZIP 28401
  • Facility Phone: (910) 341-3432
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JOSHUA K. MASTRACHISIA
  • NPI Number: 1043485097
  • Taxonomy: 173F00000X - Sleep Specialist, PhD

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CLIA Record

Field Name Field Value
CLIA Number 34D2305879
LAB Type Ambulatory Surgery Center
Facility Name WILMINGTON ASC, LLC DBA WILMINGTON HEALTH ENDOSCOPY AND SURGERY CENTER
Street 2421 SILVER STREAM LN
City WILMINGTON
State NC
ZIP 28401
Phone 9103413432
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2024
Certificate Expiration Date 6/6/2026
Facility Type Ambulatory Surgery Center
Lab Director JOSHUA K. MASTRACHISIA

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This page was last updated on: 5/18/2026