34D2023349 CLIA NUMBER - WAKEMED PRIMARY CARE - DOWNTOWN RALEIGH

Laboratory Demographics

CLIA Number: 34D2023349

Facility Name: WAKEMED PRIMARY CARE - DOWNTOWN RALEIGH

Facility Address:
150 EAST DAVIE STREET
RALEIGH, NC
ZIP 27601
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Facility Phone Number: 919 834-5299

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1699186619

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 34D2023349
LAB Type Physician Office
Facility Name WAKEMED PRIMARY CARE - DOWNTOWN RALEIGH
Street 150 EAST DAVIE STREET
City RALEIGH
State NC
ZIP 27601
Phone 919 834-5299
CertificateType 3
CertificateEffectiveDate 8/22/2023
CertificateExpirationDate 8/21/2025
FacilityType PPMP

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This page was last updated on: 4/23/2024