34D2151637 CLIA NUMBER - WAKEMED UROGYNECOLOGY

Laboratory Demographics

  • CLIA Code: 34D2151637
  • Facility Name: WAKEMED UROGYNECOLOGY
  • Facility Address: 10880 DURANT RD.
    RALEIGH, NC
    ZIP 27614
  • Facility Phone: 919 350-8532
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANDREA K. CRANE
  • NPI Number: 1598320830
  • Taxonomy: 2088F0040X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 34D2151637
LAB Type Physician Office
Facility Name WAKEMED UROGYNECOLOGY
Street 10880 DURANT RD.
City RALEIGH
State NC
ZIP 27614
Phone 919 350-8532
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/24/2024
Certificate Expiration Date 7/23/2026
Facility Type Physician Office
Lab Director ANDREA K. CRANE

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