34D2193399 CLIA NUMBER - FREEDOM2CARE DPC, PLLC

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Laboratory Demographics

CLIA Number: 34D2193399

Facility Name: FREEDOM2CARE DPC, PLLC

Facility Address:
515 KEISLER DR, SUITE 102
CARY, NC
ZIP 27518
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Facility Phone Number: 984 200-9001

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1437760345

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	34D2193399
LAB Type	Physician Office
Facility Name	FREEDOM2CARE DPC, PLLC
Street	515 KEISLER DR, SUITE 102
City	CARY
State	NC
ZIP	27518
Phone	984 200-9001
CertificateType	4
CertificateEffectiveDate	9/21/2022
CertificateExpirationDate	9/20/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024