34D2047707 CLIA NUMBER - WAKE SPINE & PAIN SPECIALISTS, LLC

Laboratory Demographics

  • CLIA Code: 34D2047707
  • Facility Name: WAKE SPINE & PAIN SPECIALISTS, LLC
  • Facility Address: 510 TIMBER DRIVE, SUITE, 105
    GARNER, NC
    ZIP 27529
  • Facility Phone: (919) 787-7246
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. JULIA A. MOORE
  • NPI Number: 1003550443
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 34D2047707
LAB Type Physician Office
Facility Name WAKE SPINE & PAIN SPECIALISTS, LLC
Street 510 TIMBER DRIVE, SUITE, 105
City GARNER
State NC
ZIP 27529
Phone 9197877246
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 5/13/2025
Certificate Expiration Date 5/12/2027
Facility Type Physician Office
Lab Director DR. JULIA A. MOORE

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This page was last updated on: 5/18/2026