34D2170524 CLIA NUMBER - WAKEMED PRIMARY CARE - HOLLY SPRINGS

Laboratory Demographics

  • CLIA Code: 34D2170524
  • Facility Name: WAKEMED PRIMARY CARE - HOLLY SPRINGS
  • Facility Address: 101 COTTEN LANE
    HOLLY SPRINGS, NC
    ZIP 27540
  • Facility Phone: 919 350-7180
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JENNIFER PHIFER
  • NPI Number: 1740702497
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D2170524
LAB Type Physician Office
Facility Name WAKEMED PRIMARY CARE - HOLLY SPRINGS
Street 101 COTTEN LANE
City HOLLY SPRINGS
State NC
ZIP 27540
Phone 919 350-7180
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/31/2025
Certificate Expiration Date 1/30/2027
Facility Type Physician Office
Lab Director JENNIFER PHIFER

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