34D0978969 CLIA NUMBER - METRO INTERNAL MEDICINE, PA

Laboratory Demographics

  • CLIA Code: 34D0978969
  • Facility Name: METRO INTERNAL MEDICINE, PA
  • Facility Address: 3320 EXECUTIVE DRIVE, BUILDING E SUITE 222 ATTN CYNTHIA TYRRELL, RN
    RALEIGH, NC
    ZIP 27609
  • Facility Phone: 919 877-1100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KENNETH A. HOLT
  • NPI Number: 1689912792
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D0978969
LAB Type Physician Office
Facility Name METRO INTERNAL MEDICINE, PA
Street 3320 EXECUTIVE DRIVE, BUILDING E SUITE 222 ATTN CYNTHIA TYRRELL, RN
City RALEIGH
State NC
ZIP 27609
Phone 919 877-1100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2023
Certificate Expiration Date 10/11/2025
Facility Type Physician Office
Lab Director KENNETH A. HOLT

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