34D2007077 CLIA NUMBER - REX VASCULAR SPECIALISTS - RALEIGH

Laboratory Demographics

  • CLIA Code: 34D2007077
  • Facility Name: REX VASCULAR SPECIALISTS - RALEIGH
  • Facility Address: 4414 LAKE BOONE TRAIL, SUITE 505
    RALEIGH, NC
    ZIP 27607
  • Facility Phone: 919 784-6265
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KRISTIN D. BRADLEY
  • NPI Number: 1336443712
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 34D2007077
LAB Type Physician Office
Facility Name REX VASCULAR SPECIALISTS - RALEIGH
Street 4414 LAKE BOONE TRAIL, SUITE 505
City RALEIGH
State NC
ZIP 27607
Phone 919 784-6265
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/7/2024
Certificate Expiration Date 5/6/2026
Facility Type Physician Office
Lab Director KRISTIN D. BRADLEY

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