34D2120017 CLIA NUMBER - EMILY PROGRAM - DOUGLAS, THE

Laboratory Demographics

  • CLIA Code: 34D2120017
  • Facility Name: EMILY PROGRAM - DOUGLAS, THE
  • Facility Address: 615 DOUGLAS STREET, SUITE 500
    DURHAM, NC
    ZIP 27705
  • Facility Phone: 919 908-0376
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: JOSEPH CROZIER
  • NPI Number: 1376057406
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D2120017
LAB Type Hospital
Facility Name EMILY PROGRAM - DOUGLAS, THE
Street 615 DOUGLAS STREET, SUITE 500
City DURHAM
State NC
ZIP 27705
Phone 919 908-0376
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2024
Certificate Expiration Date 9/30/2026
Facility Type Hospital
Lab Director JOSEPH CROZIER

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