34D0968313 CLIA NUMBER - RAYCONDA INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 34D0968313
  • Facility Name: RAYCONDA INTERNAL MEDICINE
  • Facility Address: 6958 NEXUS COURT STE 101
    FAYETTEVILLE, NC
    ZIP 28304
  • Facility Phone: 910 864-7933
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAGDISH LAL MD
  • NPI Number: 1053338947
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D0968313
LAB Type Physician Office
Facility Name RAYCONDA INTERNAL MEDICINE
Street 6958 NEXUS COURT STE 101
City FAYETTEVILLE
State NC
ZIP 28304
Phone 910 864-7933
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/8/2023
Certificate Expiration Date 12/7/2025
Facility Type Physician Office
Lab Director JAGDISH LAL MD

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