34D1077741 CLIA NUMBER - CAROLINA FAMILY PRACTICE & SPORTS MEDICINE - RALEIGH

Laboratory Demographics

  • CLIA Code: 34D1077741
  • Facility Name: CAROLINA FAMILY PRACTICE & SPORTS MEDICINE - RALEIGH
  • Facility Address: 8300 HEALTH PARK STE 107
    RALEIGH, NC
    ZIP 27615
  • Facility Phone: 919 238-2004
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: BRETT H. FOREMAN
  • NPI Number: 1063868438
  • Taxonomy: 1223P0221X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 34D1077741
LAB Type Physician Office
Facility Name CAROLINA FAMILY PRACTICE & SPORTS MEDICINE - RALEIGH
Street 8300 HEALTH PARK STE 107
City RALEIGH
State NC
ZIP 27615
Phone 919 238-2004
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 12/18/2023
Certificate Expiration Date 12/17/2025
Facility Type Physician Office
Lab Director BRETT H. FOREMAN

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