34D1037122 CLIA NUMBER - NORTH CAROLINA HEART & VASCULAR - CLAYTON

Laboratory Demographics

  • CLIA Code: 34D1037122
  • Facility Name: NORTH CAROLINA HEART & VASCULAR - CLAYTON
  • Facility Address: 2076 VETERANS PARKWAY SUITE 100
    CLAYTON, NC
    ZIP 27520
  • Facility Phone: 919 359-0322
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SARAH E. RUSSELL
  • NPI Number: 1629172390
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D1037122
LAB Type Physician Office
Facility Name NORTH CAROLINA HEART & VASCULAR - CLAYTON
Street 2076 VETERANS PARKWAY SUITE 100
City CLAYTON
State NC
ZIP 27520
Phone 919 359-0322
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/16/2025
Certificate Expiration Date 2/15/2027
Facility Type Physician Office
Lab Director SARAH E. RUSSELL

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