34D1017620 CLIA NUMBER - CH PRIMARY CARE AND SPORTS MEDICINE AT MEDCENTER MEBANE

Laboratory Demographics

  • CLIA Code: 34D1017620
  • Facility Name: CH PRIMARY CARE AND SPORTS MEDICINE AT MEDCENTER MEBANE
  • Facility Address: 3940 ARROWHEAD BLVD STE 225
    MEBANE, NC
    ZIP 27302
  • Facility Phone: 919 563-3007
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANIEL WADDELL
  • NPI Number: 1093017154
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D1017620
LAB Type Physician Office
Facility Name CH PRIMARY CARE AND SPORTS MEDICINE AT MEDCENTER MEBANE
Street 3940 ARROWHEAD BLVD STE 225
City MEBANE
State NC
ZIP 27302
Phone 919 563-3007
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/2/2025
Certificate Expiration Date 2/1/2027
Facility Type Physician Office
Lab Director DANIEL WADDELL

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