34D2277819 CLIA NUMBER - DOWNTOWN RALEIGH DIALYSIS

Laboratory Demographics

  • CLIA Code: 34D2277819
  • Facility Name: DOWNTOWN RALEIGH DIALYSIS
  • Facility Address: 3031 NEW BERN AVE, STES 100
    RALEIGH, NC
    ZIP 27610
  • Facility Phone: 984 279-0731
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DAVID W. BUTTERLY
  • NPI Number: 1063138386
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D2277819
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DOWNTOWN RALEIGH DIALYSIS
Street 3031 NEW BERN AVE, STES 100
City RALEIGH
State NC
ZIP 27610
Phone 984 279-0731
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/6/2025
Certificate Expiration Date 3/5/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DAVID W. BUTTERLY

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This page was last updated on: 6/4/2025