34D1101509 CLIA NUMBER - WAKEMED PRIMARY CARE - BRIER CREEK

Laboratory Demographics

  • CLIA Code: 34D1101509
  • Facility Name: WAKEMED PRIMARY CARE - BRIER CREEK
  • Facility Address: 8001 T W ALEXANDER DRIVE, SUITE 216
    RALEIGH, NC
    ZIP 27617
  • Facility Phone: 919 350-0953
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JACQUELINE M. HICKS
  • NPI Number: 1972914992
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D1101509
LAB Type Physician Office
Facility Name WAKEMED PRIMARY CARE - BRIER CREEK
Street 8001 T W ALEXANDER DRIVE, SUITE 216
City RALEIGH
State NC
ZIP 27617
Phone 919 350-0953
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/31/2025
Certificate Expiration Date 1/30/2027
Facility Type Physician Office
Lab Director JACQUELINE M. HICKS

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