34D0892176 CLIA NUMBER - AJEY B GOLWALA MD

Laboratory Demographics

  • CLIA Code: 34D0892176
  • Facility Name: AJEY B GOLWALA MD
  • Facility Address: 2500 BLUE RIDGE ROAD, SUITE 327
    RALEIGH, NC
    ZIP 27607
  • Facility Phone: 919 787-5333
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AJEY B. GOLWALA
  • NPI Number: 1750483392
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D0892176
LAB Type Physician Office
Facility Name AJEY B GOLWALA MD
Street 2500 BLUE RIDGE ROAD, SUITE 327
City RALEIGH
State NC
ZIP 27607
Phone 919 787-5333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/26/2024
Certificate Expiration Date 9/25/2026
Facility Type Physician Office
Lab Director AJEY B. GOLWALA

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