34D2189077 CLIA NUMBER - WAKEMED PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 34D2189077
  • Facility Name: WAKEMED PRIMARY CARE
  • Facility Address: 601 OBERLIN RD
    RALEIGH, NC
    ZIP 27605
  • Facility Phone: 919 350-7180
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: RHODA Y. CHANG
  • NPI Number: 1053921874
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 34D2189077
LAB Type Physician Office
Facility Name WAKEMED PRIMARY CARE
Street 601 OBERLIN RD
City RALEIGH
State NC
ZIP 27605
Phone 919 350-7180
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 7/27/2024
Certificate Expiration Date 7/26/2026
Facility Type Physician Office
Lab Director RHODA Y. CHANG

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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