34D2023498 CLIA NUMBER - DURHAM RECOVERY RESPONSE CENTER

Laboratory Demographics

  • CLIA Code: 34D2023498
  • Facility Name: DURHAM RECOVERY RESPONSE CENTER
  • Facility Address: 309 CRUTCHFIELD STREET
    DURHAM, NC
    ZIP 27704
  • Facility Phone: 919 956-4000
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: KRISTIN ITO
  • NPI Number: 1013202373
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D2023498
LAB Type Federally Qualified Health Center
Facility Name DURHAM RECOVERY RESPONSE CENTER
Street 309 CRUTCHFIELD STREET
City DURHAM
State NC
ZIP 27704
Phone 919 956-4000
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/25/2025
Certificate Expiration Date 4/24/2027
Facility Type Federally Qualified Health Center
Lab Director KRISTIN ITO

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