34D1046776 CLIA NUMBER - DUKE PRIMARY CARE GALLOWAY RIDGE IM

Laboratory Demographics

  • CLIA Code: 34D1046776
  • Facility Name: DUKE PRIMARY CARE GALLOWAY RIDGE IM
  • Facility Address: 50 CRAGGENMORE CLOSE
    PITTSBORO, NC
    ZIP 27312
  • Facility Phone: 919 545-2134
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARINA M. DOWDY
  • NPI Number: 1053671388
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D1046776
LAB Type Physician Office
Facility Name DUKE PRIMARY CARE GALLOWAY RIDGE IM
Street 50 CRAGGENMORE CLOSE
City PITTSBORO
State NC
ZIP 27312
Phone 919 545-2134
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2024
Certificate Expiration Date 5/20/2026
Facility Type Physician Office
Lab Director MARINA M. DOWDY

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