34D1037973 CLIA NUMBER - REX HEALTHCARE

Laboratory Demographics

  • CLIA Code: 34D1037973
  • Facility Name: REX HEALTHCARE
  • Facility Address: 4420 LAKE BOONE TRAIL
    RALEIGH, NC
    ZIP 27607
  • Facility Phone: 919 784-2183
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. MEERA UDAYAKUMAR
  • NPI Number: 1942519483
  • Taxonomy: 261QR0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D1037973
LAB Type Physician Office
Facility Name REX HEALTHCARE
Street 4420 LAKE BOONE TRAIL
City RALEIGH
State NC
ZIP 27607
Phone 919 784-2183
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 3/9/2025
Certificate Expiration Date 3/8/2027
Facility Type Physician Office
Lab Director DR. MEERA UDAYAKUMAR

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