34D2120254 CLIA NUMBER - REX WOUND HEALING CENTER

Laboratory Demographics

  • CLIA Code: 34D2120254
  • Facility Name: REX WOUND HEALING CENTER
  • Facility Address: 2916 BLUE RIDGE ROAD
    RALEIGH, NC
    ZIP 27607
  • Facility Phone: (919) 784-7874
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK STURDIVANT
  • NPI Number: 1326287368
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D2120254
LAB Type Physician Office
Facility Name REX WOUND HEALING CENTER
Street 2916 BLUE RIDGE ROAD
City RALEIGH
State NC
ZIP 27607
Phone 9197847874
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/13/2024
Certificate Expiration Date 10/12/2026
Facility Type Physician Office
Lab Director MARK STURDIVANT

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This page was last updated on: 5/18/2026