34D2002849 CLIA NUMBER - RALEIGH RADIOLOGY BLUE RIDGE

Laboratory Demographics

  • CLIA Code: 34D2002849
  • Facility Name: RALEIGH RADIOLOGY BLUE RIDGE
  • Facility Address: 3200 BLUE RIDGE RD STE 100
    RALEIGH, NC
    ZIP 27612
  • Facility Phone: 919 781-1437
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN BARDINI
  • NPI Number: 1700497492
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 34D2002849
LAB Type Physician Office
Facility Name RALEIGH RADIOLOGY BLUE RIDGE
Street 3200 BLUE RIDGE RD STE 100
City RALEIGH
State NC
ZIP 27612
Phone 919 781-1437
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2024
Certificate Expiration Date 1/26/2026
Facility Type Physician Office
Lab Director JOHN BARDINI

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