34D1074909 CLIA NUMBER - KURT VERNON MD PA

Laboratory Demographics

  • CLIA Code: 34D1074909
  • Facility Name: KURT VERNON MD PA
  • Facility Address: 1004 PROCURE STREET
    FUQUAY VARINA, NC
    ZIP 27526
  • Facility Phone: 919 577-0085
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JASON P. GREGORIO
  • NPI Number: 1922444520
  • Taxonomy: 261QE0800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D1074909
LAB Type Ambulatory Surgery Center
Facility Name KURT VERNON MD PA
Street 1004 PROCURE STREET
City FUQUAY VARINA
State NC
ZIP 27526
Phone 919 577-0085
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2025
Certificate Expiration Date 7/12/2027
Facility Type Ambulatory Surgery Center
Lab Director JASON P. GREGORIO

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