34D2020201 CLIA NUMBER - REX HOSPITAL PAIN MANAGEMENT

Laboratory Demographics

  • CLIA Code: 34D2020201
  • Facility Name: REX HOSPITAL PAIN MANAGEMENT
  • Facility Address: 4420 LAKE BOONE TRAIL SUITE 100
    RALEIGH, NC
    ZIP 27607
  • Facility Phone: 984 215-6950
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: PAM HUGHES
  • NPI Number: 1568163723
  • Taxonomy: 208VP0000X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D2020201
LAB Type Ancillary Testing Site in Health Care Center
Facility Name REX HOSPITAL PAIN MANAGEMENT
Street 4420 LAKE BOONE TRAIL SUITE 100
City RALEIGH
State NC
ZIP 27607
Phone 984 215-6950
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/15/2025
Certificate Expiration Date 2/14/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director PAM HUGHES

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