34D1081852 CLIA NUMBER - WAKE COUNTY HEALTH AND HUMAN SERVICES-WIC PROGRAM

Laboratory Demographics

  • CLIA Code: 34D1081852
  • Facility Name: WAKE COUNTY HEALTH AND HUMAN SERVICES-WIC PROGRAM
  • Facility Address: 10 SUNNYBROOK ROAD ROOM # G08
    RALEIGH, NC
    ZIP 27610
  • Facility Phone: 919 250-4720
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: KATRINA C. BURRUSS
  • NPI Number: 1659590396
  • Taxonomy: 104100000X - Social Worker

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CLIA Record

Field Name Field Value
CLIA Number 34D1081852
LAB Type School/Student Health Service
Facility Name WAKE COUNTY HEALTH AND HUMAN SERVICES-WIC PROGRAM
Street 10 SUNNYBROOK ROAD ROOM # G08
City RALEIGH
State NC
ZIP 27610
Phone 919 250-4720
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2024
Certificate Expiration Date 3/26/2026
Facility Type School/Student Health Service
Lab Director KATRINA C. BURRUSS

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