34D2014255 CLIA NUMBER - UNC PHYSICIAN NETWORK, DBA UNC PEDIATRICS AT CARY

Laboratory Demographics

  • CLIA Code: 34D2014255
  • Facility Name: UNC PHYSICIAN NETWORK, DBA UNC PEDIATRICS AT CARY
  • Facility Address: 1515 SW CARY PARKWAY, SUITE 220
    CARY, NC
    ZIP 27511
  • Facility Phone: 919 387-3147
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MAYRUI KHATRI
  • NPI Number: 1326313321
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D2014255
LAB Type Physician Office
Facility Name UNC PHYSICIAN NETWORK, DBA UNC PEDIATRICS AT CARY
Street 1515 SW CARY PARKWAY, SUITE 220
City CARY
State NC
ZIP 27511
Phone 919 387-3147
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/5/2024
Certificate Expiration Date 10/4/2026
Facility Type Physician Office
Lab Director MAYRUI KHATRI

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This page was last updated on: 6/4/2025