34D2316796 CLIA NUMBER - CAPE FEAR RETINAL ASSOCIATES, PC

Laboratory Demographics

  • CLIA Code: 34D2316796
  • Facility Name: CAPE FEAR RETINAL ASSOCIATES, PC
  • Facility Address: 1104 MEDICAL CENTER DRIVE
    WILMINGTON, NC
    ZIP 28401
  • Facility Phone: 910 332-3560
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LEON D. CHARKOUDIAN
  • NPI Number: 1205944477
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 34D2316796
LAB Type Physician Office
Facility Name CAPE FEAR RETINAL ASSOCIATES, PC
Street 1104 MEDICAL CENTER DRIVE
City WILMINGTON
State NC
ZIP 28401
Phone 910 332-3560
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/13/2025
Certificate Expiration Date 1/12/2027
Facility Type Physician Office
Lab Director LEON D. CHARKOUDIAN

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