34D2106752 CLIA NUMBER - AVANCE CARE - CENTRAL RALEIGH

Laboratory Demographics

  • CLIA Code: 34D2106752
  • Facility Name: AVANCE CARE - CENTRAL RALEIGH
  • Facility Address: 815 OBERLIN ROAD SUITE 200
    RALEIGH, NC
    ZIP 27605
  • Facility Phone: 919 322-4722
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: LEONA MILLER
  • NPI Number: 1881121531
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2106752
LAB Type Physician Office
Facility Name AVANCE CARE - CENTRAL RALEIGH
Street 815 OBERLIN ROAD SUITE 200
City RALEIGH
State NC
ZIP 27605
Phone 919 322-4722
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 12/29/2023
Certificate Expiration Date 12/28/2025
Facility Type Physician Office
Lab Director LEONA MILLER

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