34D2049214 CLIA NUMBER - DUKE PRIMARY CARE BLUE RIDGE

Laboratory Demographics

  • CLIA Code: 34D2049214
  • Facility Name: DUKE PRIMARY CARE BLUE RIDGE
  • Facility Address: 3633 HARDEN ROAD, SUITE 100
    RALEIGH, NC
    ZIP 27607
  • Facility Phone: 919 954-4160
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARINA M. DOWDY
  • NPI Number: 1225372246
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 34D2049214
LAB Type Physician Office
Facility Name DUKE PRIMARY CARE BLUE RIDGE
Street 3633 HARDEN ROAD, SUITE 100
City RALEIGH
State NC
ZIP 27607
Phone 919 954-4160
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/15/2025
Certificate Expiration Date 1/14/2027
Facility Type Physician Office
Lab Director MARINA M. DOWDY

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