34D0963954 CLIA NUMBER - NOVANT HEALTH VILLAGE FAMILY CARE

Laboratory Demographics

CLIA Number: 34D0963954

Facility Name: NOVANT HEALTH VILLAGE FAMILY CARE

Facility Address:
3213 ROGERS ROAD
WAKE FOREST, NC
ZIP 27587
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Facility Phone Number: 919 562-2288

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1659571768

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	34D0963954
LAB Type	Physician Office
Facility Name	NOVANT HEALTH VILLAGE FAMILY CARE
Street	3213 ROGERS ROAD
City	WAKE FOREST
State	NC
ZIP	27587
Phone	919 562-2288
CertificateType	2
CertificateEffectiveDate	12/10/2022
CertificateExpirationDate	12/9/2024
FacilityType	Compliance

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