34D2284535 CLIA NUMBER - CEDAR OAKS CLINIC

Laboratory Demographics

  • CLIA Code: 34D2284535
  • Facility Name: CEDAR OAKS CLINIC
  • Facility Address: 1748 HERITAGE CENTER DR, SUITE 101
    WAKE FOREST, NC
    ZIP 27587
  • Facility Phone: 919 529-5933
  • Facility Type: Other - CLINIC
  • Facility Type: Waiver
  • Lab Director: NATASHA DONNELLY
  • NPI Number: 1184209470
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 34D2284535
LAB Type Other - CLINIC
Facility Name CEDAR OAKS CLINIC
Street 1748 HERITAGE CENTER DR, SUITE 101
City WAKE FOREST
State NC
ZIP 27587
Phone 919 529-5933
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/26/2025
Certificate Expiration Date 6/25/2027
Facility Type Other - CLINIC
Lab Director NATASHA DONNELLY

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