34D1005729 CLIA NUMBER - DURHAM DIAGNOSTIC IMAGING -SOUTHPOINT

Laboratory Demographics

  • CLIA Code: 34D1005729
  • Facility Name: DURHAM DIAGNOSTIC IMAGING -SOUTHPOINT
  • Facility Address: 5107 SOUTHPARK DR STE 101
    DURHAM, NC
    ZIP 27713
  • Facility Phone: 919 544-7199
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: DR. CHRISTOPHER M. CEPEDA
  • NPI Number: 1750339933
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 34D1005729
LAB Type Other
Facility Name DURHAM DIAGNOSTIC IMAGING -SOUTHPOINT
Street 5107 SOUTHPARK DR STE 101
City DURHAM
State NC
ZIP 27713
Phone 919 544-7199
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/7/2024
Certificate Expiration Date 5/6/2026
Facility Type Other
Lab Director DR. CHRISTOPHER M. CEPEDA

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This page was last updated on: 3/20/2025