34D2086107 CLIA NUMBER - NEURO RESTORATIVE - RALEIGH

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Laboratory Demographics

CLIA Number: 34D2086107

Facility Name: NEURO RESTORATIVE - RALEIGH

Facility Address:
3601 WINDEMERE PLACE
RALEIGH, NC
ZIP 27604
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Facility Phone Number: 919 874-6237

Facility Type: Other - RES BRAIN INJURY PROGRAM

Certificate Type: Waiver

NPI Number: 1497160451

Taxonomy: 283X00000X - Rehabilitation Hospital
A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity.

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
CertificateType	4
CertificateEffectiveDate	11/7/2023
CertificateExpirationDate	11/6/2025
FacilityType	Waiver

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