34D2275318 CLIA NUMBER - TANDEM PRIMARY CARE, PLLC

Laboratory Demographics

  • CLIA Code: 34D2275318
  • Facility Name: TANDEM PRIMARY CARE, PLLC
  • Facility Address: 105 NEWSOME STREET, SUITE 106
    DURHAM, NC
    ZIP 27704
  • Facility Phone: 919 321-0418
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: IJEOMA M. PERKINS
  • NPI Number: 1467118059
  • Taxonomy: 363A00000X - Physician Assistant

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CLIA Record

Field Name Field Value
CLIA Number 34D2275318
LAB Type Physician Office
Facility Name TANDEM PRIMARY CARE, PLLC
Street 105 NEWSOME STREET, SUITE 106
City DURHAM
State NC
ZIP 27704
Phone 919 321-0418
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/19/2025
Certificate Expiration Date 1/18/2027
Facility Type Physician Office
Lab Director IJEOMA M. PERKINS

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