34D1050466 CLIA NUMBER - STATCARE URGENT CARE

Laboratory Demographics

  • CLIA Code: 34D1050466
  • Facility Name: STATCARE URGENT CARE
  • Facility Address: 9525 CLIFFDALE RD
    FAYETTEVILLE, NC
    ZIP 28304
  • Facility Phone: 910 826-7828
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: RAJU RAVAL
  • NPI Number: 1750448791
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D1050466
LAB Type Other
Facility Name STATCARE URGENT CARE
Street 9525 CLIFFDALE RD
City FAYETTEVILLE
State NC
ZIP 28304
Phone 910 826-7828
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/1/2025
Certificate Expiration Date 4/30/2027
Facility Type Other
Lab Director RAJU RAVAL

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