34D2234713 CLIA NUMBER - TRIANGLE WELLNESS AND RECOVERY PLLC

Laboratory Demographics

CLIA Number: 34D2234713

Facility Name: TRIANGLE WELLNESS AND RECOVERY PLLC

Facility Address:
1000 DARRINGTON DRIVESUITE 204
CARY, NC
ZIP 27513
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Facility Phone Number: 919 338-5620

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1265816086

Taxonomy: 261QM0801X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	34D2234713
LAB Type	Physician Office
Facility Name	TRIANGLE WELLNESS AND RECOVERY PLLC
Street	1000 DARRINGTON DRIVESUITE 204
City	CARY
State	NC
ZIP	27513
Phone	919 338-5620
CertificateType	4
CertificateEffectiveDate	9/2/2023
CertificateExpirationDate	9/1/2025
FacilityType	Waiver

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