34D0712915 CLIA NUMBER - TRIANGLE GASTROENTEROLOGY PLLC

Laboratory Demographics

  • CLIA Code: 34D0712915
  • Facility Name: TRIANGLE GASTROENTEROLOGY PLLC
  • Facility Address: 2600 ATLANTIC AVE # 100
    RALEIGH, NC
    ZIP 27604
  • Facility Phone: 919 881-9999
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JULIA S. MANNY
  • NPI Number: 1649590381
  • Taxonomy: 367500000X - Nurse Anesthetist, Certified Registered

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CLIA Record

Field Name Field Value
CLIA Number 34D0712915
LAB Type Physician Office
Facility Name TRIANGLE GASTROENTEROLOGY PLLC
Street 2600 ATLANTIC AVE # 100
City RALEIGH
State NC
ZIP 27604
Phone 919 881-9999
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 2/9/2024
Certificate Expiration Date 2/8/2026
Facility Type Physician Office
Lab Director JULIA S. MANNY

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This page was last updated on: 6/4/2025