34D1005002 CLIA NUMBER - ALLIANCE MEDICAL MINISTRY

Laboratory Demographics

CLIA Number: 34D1005002

Facility Name: ALLIANCE MEDICAL MINISTRY

Facility Address:
101 DONALD ROSS DR
RALEIGH, NC
ZIP 27610
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Facility Phone Number: 919 250-3320

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1992363758

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	34D1005002
LAB Type	Physician Office
Facility Name	ALLIANCE MEDICAL MINISTRY
Street	101 DONALD ROSS DR
City	RALEIGH
State	NC
ZIP	27610
Phone	919 250-3320
CertificateType	4
CertificateEffectiveDate	7/1/2023
CertificateExpirationDate	6/30/2025
FacilityType	Waiver

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