34D1041060 CLIA NUMBER - WAVERLY PRIMARY CARE

Laboratory Demographics

CLIA Number: 34D1041060

Facility Name: WAVERLY PRIMARY CARE

Facility Address:
600 NEW WAVERLY PLACE STE 203
CARY, NC
ZIP 27518
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Facility Phone Number: 919 851-2174

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1003868258

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	34D1041060
LAB Type	Physician Office
Facility Name	WAVERLY PRIMARY CARE
Street	600 NEW WAVERLY PLACE STE 203
City	CARY
State	NC
ZIP	27518
Phone	919 851-2174
CertificateType	3
CertificateEffectiveDate	5/24/2023
CertificateExpirationDate	5/23/2025
FacilityType	PPMP

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