34D0962841 CLIA NUMBER - CLEVELAND FAMILY HEALTH CLINIC, PLLC

Laboratory Demographics

CLIA Number: 34D0962841

Facility Name: CLEVELAND FAMILY HEALTH CLINIC, PLLC

Facility Address:
22 SHIPWASH DRIVE
GARNER, NC
ZIP 27529
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Facility Phone Number: 919 662-7600

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1811226871

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	34D0962841
LAB Type	Physician Office
Facility Name	CLEVELAND FAMILY HEALTH CLINIC, PLLC
Street	22 SHIPWASH DRIVE
City	GARNER
State	NC
ZIP	27529
Phone	919 662-7600
CertificateType	4
CertificateEffectiveDate	5/10/2024
CertificateExpirationDate	5/9/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024