34D1032130 CLIA NUMBER - WAKEMED PRIMARY CARE - NORTH RALEIGH

Laboratory Demographics

  • CLIA Code: 34D1032130
  • Facility Name: WAKEMED PRIMARY CARE - NORTH RALEIGH
  • Facility Address: 10010 FALLS OF NEUSE ROAD, SUITE 300
    RALEIGH, NC
    ZIP 27614
  • Facility Phone: 919 848-6946
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JACQUELINE HICKS
  • NPI Number: 1134530074
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D1032130
LAB Type Physician Office
Facility Name WAKEMED PRIMARY CARE - NORTH RALEIGH
Street 10010 FALLS OF NEUSE ROAD, SUITE 300
City RALEIGH
State NC
ZIP 27614
Phone 919 848-6946
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/22/2025
Certificate Expiration Date 8/21/2027
Facility Type Physician Office
Lab Director JACQUELINE HICKS

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