34D2193098 CLIA NUMBER - UNC URGENT CARE AT FUQUAY VARINA

Laboratory Demographics

  • CLIA Code: 34D2193098
  • Facility Name: UNC URGENT CARE AT FUQUAY VARINA
  • Facility Address: 1617 N MAIN ST, SUITE 101
    FUQUAY VARINA, NC
    ZIP 27526
  • Facility Phone: 984 215-6595
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KELLEY G. UNDERWOOD
  • NPI Number: 1316562374
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D2193098
LAB Type Physician Office
Facility Name UNC URGENT CARE AT FUQUAY VARINA
Street 1617 N MAIN ST, SUITE 101
City FUQUAY VARINA
State NC
ZIP 27526
Phone 984 215-6595
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2024
Certificate Expiration Date 9/16/2026
Facility Type Physician Office
Lab Director KELLEY G. UNDERWOOD

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This page was last updated on: 3/20/2025