34D2293408 CLIA NUMBER - CAROLINA URGENT CARE

Laboratory Demographics

CLIA Number: 34D2293408

Facility Name: CAROLINA URGENT CARE

Facility Address:
5234 NORTH ROXBORO STREET
DURHAM, NC
ZIP 27712
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Facility Phone Number: 984 272-2422

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1003484734

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	34D2293408
LAB Type	Physician Office
Facility Name	CAROLINA URGENT CARE
Street	5234 NORTH ROXBORO STREET
City	DURHAM
State	NC
ZIP	27712
Phone	984 272-2422
CertificateType	4
CertificateEffectiveDate	11/8/2023
CertificateExpirationDate	11/7/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024