34D1096201 CLIA NUMBER - WAKEMED OBSTETRICS AND GYNECOLOGY

Laboratory Demographics

  • CLIA Code: 34D1096201
  • Facility Name: WAKEMED OBSTETRICS AND GYNECOLOGY
  • Facility Address: 10010 FALLS OF NEUSE ROAD, SUITE #205
    RALEIGH, NC
    ZIP 27614
  • Facility Phone: (919) 350-1380
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: AMANTIA KENNEDY
  • NPI Number: 1053488346
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 34D1096201
LAB Type Physician Office
Facility Name WAKEMED OBSTETRICS AND GYNECOLOGY
Street 10010 FALLS OF NEUSE ROAD, SUITE #205
City RALEIGH
State NC
ZIP 27614
Phone 9193501380
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 2/27/2025
Certificate Expiration Date 2/26/2027
Facility Type Physician Office
Lab Director AMANTIA KENNEDY

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This page was last updated on: 5/18/2026