34D2164715 CLIA NUMBER - PARK URGENT CARE PLLC

Laboratory Demographics

  • CLIA Code: 34D2164715
  • Facility Name: PARK URGENT CARE PLLC
  • Facility Address: 7560 CARPENTER FIRE STATION ROAD, SUITE 203
    CARY, NC
    ZIP 27519
  • Facility Phone: 919 261-6677
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAJ POLAVARAM
  • NPI Number: 1871064949
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D2164715
LAB Type Physician Office
Facility Name PARK URGENT CARE PLLC
Street 7560 CARPENTER FIRE STATION ROAD, SUITE 203
City CARY
State NC
ZIP 27519
Phone 919 261-6677
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/29/2024
Certificate Expiration Date 5/28/2026
Facility Type Physician Office
Lab Director RAJ POLAVARAM

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