34D2223725 CLIA NUMBER - TDMD PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 34D2223725
  • Facility Name: TDMD PRIMARY CARE
  • Facility Address: 1001 PEMBERTON HILL RD, #202
    APEX, NC
    ZIP 27502
  • Facility Phone: 919 760-5228
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THUSITHA R. DISSANEYAKE
  • NPI Number: 1629658802
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D2223725
LAB Type Physician Office
Facility Name TDMD PRIMARY CARE
Street 1001 PEMBERTON HILL RD, #202
City APEX
State NC
ZIP 27502
Phone 919 760-5228
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/10/2025
Certificate Expiration Date 5/9/2027
Facility Type Physician Office
Lab Director THUSITHA R. DISSANEYAKE

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