34D1005814 CLIA NUMBER - CLAYTON INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 34D1005814
  • Facility Name: CLAYTON INTERNAL MEDICINE
  • Facility Address: 301 AMOS STREET
    CLAYTON, NC
    ZIP 27520
  • Facility Phone: 919 550-6336
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MAZEN KHUSAYEM
  • NPI Number: 1366658833
  • Taxonomy: 261QM2500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D1005814
LAB Type Physician Office
Facility Name CLAYTON INTERNAL MEDICINE
Street 301 AMOS STREET
City CLAYTON
State NC
ZIP 27520
Phone 919 550-6336
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2024
Certificate Expiration Date 10/30/2026
Facility Type Physician Office
Lab Director MAZEN KHUSAYEM

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