34D1063893 CLIA NUMBER - MED ONE MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 34D1063893
  • Facility Name: MED ONE MEDICAL GROUP
  • Facility Address: 7019 HARPS MILL ROAD, STE 200
    RALEIGH, NC
    ZIP 27615
  • Facility Phone: 919 850-1300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GARY GRUBER
  • NPI Number: 1548346331
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D1063893
LAB Type Physician Office
Facility Name MED ONE MEDICAL GROUP
Street 7019 HARPS MILL ROAD, STE 200
City RALEIGH
State NC
ZIP 27615
Phone 919 850-1300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/24/2025
Certificate Expiration Date 1/23/2027
Facility Type Physician Office
Lab Director GARY GRUBER

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