34D2124759 CLIA NUMBER - ADVANCE COMMUNITY HEALTH HORIZON AT WOMEN'S HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 34D2124759
  • Facility Name: ADVANCE COMMUNITY HEALTH HORIZON AT WOMEN'S HEALTH CENTER
  • Facility Address: 2200 NEW BERN AVENUE
    RALEIGH, NC
    ZIP 27610
  • Facility Phone: 919 833-3111
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: COLIN C. OTTEY
  • NPI Number: 1992979934
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D2124759
LAB Type Federally Qualified Health Center
Facility Name ADVANCE COMMUNITY HEALTH HORIZON AT WOMEN'S HEALTH CENTER
Street 2200 NEW BERN AVENUE
City RALEIGH
State NC
ZIP 27610
Phone 919 833-3111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/25/2025
Certificate Expiration Date 1/24/2027
Facility Type Federally Qualified Health Center
Lab Director COLIN C. OTTEY

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