34D0955459 CLIA NUMBER - DUKE PRIMARY CARE WAKE FOREST FM

Laboratory Demographics

  • CLIA Code: 34D0955459
  • Facility Name: DUKE PRIMARY CARE WAKE FOREST FM
  • Facility Address: 11635 NORTH PARK DRIVE, SUITE 200
    WAKE FOREST, NC
    ZIP 27587
  • Facility Phone: 919 570-6060
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARINA M. DOWDY
  • NPI Number: 1275561847
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D0955459
LAB Type Physician Office
Facility Name DUKE PRIMARY CARE WAKE FOREST FM
Street 11635 NORTH PARK DRIVE, SUITE 200
City WAKE FOREST
State NC
ZIP 27587
Phone 919 570-6060
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/1/2025
Certificate Expiration Date 12/31/2026
Facility Type Physician Office
Lab Director MARINA M. DOWDY

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