34D2103780 CLIA NUMBER - AMN MEDICAL GROUP PLLC DBA WAKE HEALTH MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 34D2103780
  • Facility Name: AMN MEDICAL GROUP PLLC DBA WAKE HEALTH MEDICAL GROUP
  • Facility Address: 13200 NEW FALLS OF THE NEUSE ROAD SUITE 113
    RALEIGH, NC
    ZIP 27614
  • Facility Phone: 919 554-6754
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALAN NADOUR
  • NPI Number: 1538652557
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 34D2103780
LAB Type Physician Office
Facility Name AMN MEDICAL GROUP PLLC DBA WAKE HEALTH MEDICAL GROUP
Street 13200 NEW FALLS OF THE NEUSE ROAD SUITE 113
City RALEIGH
State NC
ZIP 27614
Phone 919 554-6754
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/20/2023
Certificate Expiration Date 10/19/2025
Facility Type Physician Office
Lab Director ALAN NADOUR

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