34D2122077 CLIA NUMBER - RADIANCE RX, PLLC

Laboratory Demographics

  • CLIA Code: 34D2122077
  • Facility Name: RADIANCE RX, PLLC
  • Facility Address: 2046 CREEKSIDE LANDING DRIVE
    APEX, NC
    ZIP 27502
  • Facility Phone: 919 303-4777
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PETER A. KREYMERMAN
  • NPI Number: 1083272553
  • Taxonomy: 208D00000X - General Practice

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 34D2122077
LAB Type Physician Office
Facility Name RADIANCE RX, PLLC
Street 2046 CREEKSIDE LANDING DRIVE
City APEX
State NC
ZIP 27502
Phone 919 303-4777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/18/2024
Certificate Expiration Date 11/17/2026
Facility Type Physician Office
Lab Director PETER A. KREYMERMAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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