34D2193399 CLIA NUMBER - FREEDOM2CARE DPC, PLLC

Laboratory Demographics

  • CLIA Code: 34D2193399
  • Facility Name: FREEDOM2CARE DPC, PLLC
  • Facility Address: 515 KEISLER DR, SUITE 102
    CARY, NC
    ZIP 27518
  • Facility Phone: 984 200-9001
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BOUASY L. HUNEYCUTT
  • NPI Number: 1437760345
  • Taxonomy: 207R00000X - Internal Medicine

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/21/2024
Certificate Expiration Date 9/20/2026
Facility Type Physician Office
Lab Director BOUASY L. HUNEYCUTT

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