34D2243403 CLIA NUMBER - CONCINNITY HEALTH DIRECT PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 34D2243403
  • Facility Name: CONCINNITY HEALTH DIRECT PRIMARY CARE
  • Facility Address: 258 SOUTHTOWN CIRCLE
    ROLESVILLE, NC
    ZIP 27571
  • Facility Phone: 919 804-1658
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TONI L. KENION
  • NPI Number: 1255098216
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D2243403
LAB Type Physician Office
Facility Name CONCINNITY HEALTH DIRECT PRIMARY CARE
Street 258 SOUTHTOWN CIRCLE
City ROLESVILLE
State NC
ZIP 27571
Phone 919 804-1658
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/18/2023
Certificate Expiration Date 11/17/2025
Facility Type Physician Office
Lab Director TONI L. KENION

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