34D1088776 CLIA NUMBER - ANGIER PEDIATRICS AND ADULT MEDICAL CENTER, PLLC

Laboratory Demographics

CLIA Number: 34D1088776

Facility Name: ANGIER PEDIATRICS AND ADULT MEDICAL CENTER, PLLC

Facility Address:
441 LAKESTONE COMMONS AVENUE
FUQUAY VARINA, NC
ZIP 27526
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Facility Phone Number: 919 331-2460

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1104096015

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	34D1088776
LAB Type	Physician Office
Facility Name	ANGIER PEDIATRICS AND ADULT MEDICAL CENTER, PLLC
Street	441 LAKESTONE COMMONS AVENUE
City	FUQUAY VARINA
State	NC
ZIP	27526
Phone	919 331-2460
CertificateType	4
CertificateEffectiveDate	9/4/2022
CertificateExpirationDate	9/3/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024