34D2130284 CLIA NUMBER - WAKEMED MATERNAL FETAL MEDICINE

Laboratory Demographics

  • CLIA Code: 34D2130284
  • Facility Name: WAKEMED MATERNAL FETAL MEDICINE
  • Facility Address: 23 SUNNYBROOK ROAD, SUITE 316
    RALEIGH, NC
    ZIP 27610
  • Facility Phone: 919 350-7180
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CARMEN JE VONNE BEAMON
  • NPI Number: 1336550375
  • Taxonomy: 207VM0101X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 34D2130284
LAB Type Physician Office
Facility Name WAKEMED MATERNAL FETAL MEDICINE
Street 23 SUNNYBROOK ROAD, SUITE 316
City RALEIGH
State NC
ZIP 27610
Phone 919 350-7180
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/22/2024
Certificate Expiration Date 1/21/2026
Facility Type Physician Office
Lab Director CARMEN JE VONNE BEAMON

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