34D2137661 CLIA NUMBER - WAKEMED PRIMARY CARE - FORESTVILLE CROSSING

Laboratory Demographics

  • CLIA Code: 34D2137661
  • Facility Name: WAKEMED PRIMARY CARE - FORESTVILLE CROSSING
  • Facility Address: 2930 FORESTVILLE ROAD, SUITE 100
    RALEIGH, NC
    ZIP 27616
  • Facility Phone: 919 350-8532
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: RYAN MURRAY
  • NPI Number: 1255851424
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D2137661
LAB Type Physician Office
Facility Name WAKEMED PRIMARY CARE - FORESTVILLE CROSSING
Street 2930 FORESTVILLE ROAD, SUITE 100
City RALEIGH
State NC
ZIP 27616
Phone 919 350-8532
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/2/2025
Certificate Expiration Date 10/1/2027
Facility Type Physician Office
Lab Director RYAN MURRAY

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