34D1104002 CLIA NUMBER - KNIGHTDALE FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 34D1104002
  • Facility Name: KNIGHTDALE FAMILY MEDICINE
  • Facility Address: 6905 KNIGHTDALE BOULEVARD, SUITE 106 ATTN ANDREA
    KNIGHTDALE, NC
    ZIP 27545
  • Facility Phone: 919 261-8760
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ZHOU S. LI
  • NPI Number: 1356655302
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D1104002
LAB Type Physician Office
Facility Name KNIGHTDALE FAMILY MEDICINE
Street 6905 KNIGHTDALE BOULEVARD, SUITE 106 ATTN ANDREA
City KNIGHTDALE
State NC
ZIP 27545
Phone 919 261-8760
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/24/2025
Certificate Expiration Date 8/23/2027
Facility Type Physician Office
Lab Director ZHOU S. LI

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