34D2039109 CLIA NUMBER - CAPITAL CITY SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 34D2039109
  • Facility Name: CAPITAL CITY SURGERY CENTER, LLC
  • Facility Address: 23 SUNNYBROOK RD SUITE 100
    RALEIGH, NC
    ZIP 27610
  • Facility Phone: 919 322-4816
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ROBERT SEYMOUR III
  • NPI Number: 1972874907
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D2039109
LAB Type Ambulatory Surgery Center
Facility Name CAPITAL CITY SURGERY CENTER, LLC
Street 23 SUNNYBROOK RD SUITE 100
City RALEIGH
State NC
ZIP 27610
Phone 919 322-4816
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/2/2024
Certificate Expiration Date 4/1/2026
Facility Type Ambulatory Surgery Center
Lab Director ROBERT SEYMOUR III

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