34D2086107 CLIA NUMBER - NEURO RESTORATIVE - RALEIGH

Laboratory Demographics

  • CLIA Code: 34D2086107
  • Facility Name: NEURO RESTORATIVE - RALEIGH
  • Facility Address: 3601 WINDEMERE PLACE
    RALEIGH, NC
    ZIP 27604
  • Facility Phone: 919 874-6237
  • Facility Type: Other - RES BRAIN INJURY PROGRAM
  • Facility Type: Waiver
  • Lab Director: DONNELL JEFFERSON
  • NPI Number: 1497160451
  • Taxonomy: 283X00000X - Rehabilitation Hospital

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CLIA Record

Field Name Field Value
CLIA Number 34D2086107
LAB Type Other - RES BRAIN INJURY PROGRAM
Facility Name NEURO RESTORATIVE - RALEIGH
Street 3601 WINDEMERE PLACE
City RALEIGH
State NC
ZIP 27604
Phone 919 874-6237
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/7/2023
Certificate Expiration Date 11/6/2025
Facility Type Other - RES BRAIN INJURY PROGRAM
Lab Director DONNELL JEFFERSON

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