34D1082242 CLIA NUMBER - DUKE GASTROENTEROLOGY OF RALEIGH

Laboratory Demographics

  • CLIA Code: 34D1082242
  • Facility Name: DUKE GASTROENTEROLOGY OF RALEIGH
  • Facility Address: 3300 EXECUTIVE DR
    RALEIGH, NC
    ZIP 27609
  • Facility Phone: 919 862-5075
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MALCOLM BRANCH
  • NPI Number: 1700087194
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D1082242
LAB Type Ambulatory Surgery Center
Facility Name DUKE GASTROENTEROLOGY OF RALEIGH
Street 3300 EXECUTIVE DR
City RALEIGH
State NC
ZIP 27609
Phone 919 862-5075
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2024
Certificate Expiration Date 4/2/2026
Facility Type Ambulatory Surgery Center
Lab Director MALCOLM BRANCH

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