34D2131871 CLIA NUMBER - RALEIGH PREVENTATIVE CARE PA

Laboratory Demographics

  • CLIA Code: 34D2131871
  • Facility Name: RALEIGH PREVENTATIVE CARE PA
  • Facility Address: 4201 LAKE BOONE TRAIL, SUITE 102
    RALEIGH, NC
    ZIP 27607
  • Facility Phone: 919 896-8383
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SCOTT D. HOFFMAN
  • NPI Number: 1588808976
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D2131871
LAB Type Physician Office
Facility Name RALEIGH PREVENTATIVE CARE PA
Street 4201 LAKE BOONE TRAIL, SUITE 102
City RALEIGH
State NC
ZIP 27607
Phone 919 896-8383
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2025
Certificate Expiration Date 6/6/2027
Facility Type Physician Office
Lab Director SCOTT D. HOFFMAN

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