34D2281449 CLIA NUMBER - DIRECT MEDICAL XPERIENCE

Laboratory Demographics

  • CLIA Code: 34D2281449
  • Facility Name: DIRECT MEDICAL XPERIENCE
  • Facility Address: 4505 FAIR MEADOW LN STE 215
    RALEIGH, NC
    ZIP 27607
  • Facility Phone: 919 900-7744
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DEAUNDRE, A. DYER
  • NPI Number: 1285341834
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D2281449
LAB Type Physician Office
Facility Name DIRECT MEDICAL XPERIENCE
Street 4505 FAIR MEADOW LN STE 215
City RALEIGH
State NC
ZIP 27607
Phone 919 900-7744
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/8/2025
Certificate Expiration Date 5/7/2027
Facility Type Physician Office
Lab Director DR. DEAUNDRE, A. DYER

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