34D2182038 CLIA NUMBER - PASSPORT HEALTH TRIANGLE, PC

Laboratory Demographics

  • CLIA Code: 34D2182038
  • Facility Name: PASSPORT HEALTH TRIANGLE, PC
  • Facility Address: 8450 CHAPEL HILL ROAD #205
    CARY, NC
    ZIP 27513
  • Facility Phone: 919 780-0053
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID KATZ
  • NPI Number: 1154693695
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D2182038
LAB Type Physician Office
Facility Name PASSPORT HEALTH TRIANGLE, PC
Street 8450 CHAPEL HILL ROAD #205
City CARY
State NC
ZIP 27513
Phone 919 780-0053
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/15/2024
Certificate Expiration Date 4/14/2026
Facility Type Physician Office
Lab Director DAVID KATZ

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