34D2027735 CLIA NUMBER - AVANCE CARE, PA

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Laboratory Demographics

CLIA Number: 34D2027735

Facility Name: AVANCE CARE, PA

Facility Address:
12341 STRICKLAND ROAD, SUITE 102
RALEIGH, NC
ZIP 27613
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Facility Phone Number: 919 865-8000

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1942581947

Taxonomy: 332900000X - Non-Pharmacy Dispensing Site
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

CLIA Record

Field Name	Field Value
CLIA Number	34D2027735
LAB Type	Physician Office
Facility Name	AVANCE CARE, PA
Street	12341 STRICKLAND ROAD, SUITE 102
City	RALEIGH
State	NC
ZIP	27613
Phone	919 865-8000
CertificateType	3
CertificateEffectiveDate	5/22/2022
CertificateExpirationDate	5/21/2024
FacilityType	PPMP

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