34D2130335 CLIA NUMBER - SENTINEL PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 34D2130335
  • Facility Name: SENTINEL PRIMARY CARE
  • Facility Address: 10208 CERNY STREET, SUITE 308
    RALEIGH, NC
    ZIP 27617
  • Facility Phone: 919 797-0550
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PATRICK A. OCONNELL
  • NPI Number: 1508318114
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D2130335
LAB Type Physician Office
Facility Name SENTINEL PRIMARY CARE
Street 10208 CERNY STREET, SUITE 308
City RALEIGH
State NC
ZIP 27617
Phone 919 797-0550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/8/2025
Certificate Expiration Date 5/7/2027
Facility Type Physician Office
Lab Director PATRICK A. OCONNELL

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This page was last updated on: 6/4/2025