34D1024395 CLIA NUMBER - RALEIGH ENDOSCOPY CENTER THE RALEIGH NC ENDOSCOPY ASC, LLC DBA

Laboratory Demographics

CLIA Number: 34D1024395

Facility Name: RALEIGH ENDOSCOPY CENTER THE RALEIGH NC ENDOSCOPY ASC, LLC DBA

Facility Address:
2417 ATRIUM DRIVE SUITE 101
RALEIGH, NC
ZIP 27607
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Facility Phone Number: 919 791-2060

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1487629044

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	34D1024395
LAB Type	Ambulatory Surgery Center
Facility Name	RALEIGH ENDOSCOPY CENTER THE RALEIGH NC ENDOSCOPY ASC, LLC DBA
Street	2417 ATRIUM DRIVE SUITE 101
City	RALEIGH
State	NC
ZIP	27607
Phone	919 791-2060
CertificateType	4
CertificateEffectiveDate	4/12/2024
CertificateExpirationDate	4/11/2026
FacilityType	Waiver

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