34D2296459 CLIA NUMBER - WAKEMED MENTAL HEALTH & WELL-BEING HOSPITAL WAKE BROOK

Laboratory Demographics

  • CLIA Code: 34D2296459
  • Facility Name: WAKEMED MENTAL HEALTH & WELL-BEING HOSPITAL WAKE BROOK
  • Facility Address: 111 SUNNYBROOK ROAD
    RALEIGH, NC
    ZIP 27610
  • Facility Phone: 919 350-8260
  • Facility Type: Other - BEHAVIORAL HEALTH FACILIT
  • Facility Type: Waiver
  • Lab Director: CLARKE GEORGE
  • NPI Number: 1790752236
  • Taxonomy: 273Y00000X - Rehabilitation Unit

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CLIA Record

Field Name Field Value
CLIA Number 34D2296459
LAB Type Other - BEHAVIORAL HEALTH FACILIT
Facility Name WAKEMED MENTAL HEALTH & WELL-BEING HOSPITAL WAKE BROOK
Street 111 SUNNYBROOK ROAD
City RALEIGH
State NC
ZIP 27610
Phone 919 350-8260
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/28/2023
Certificate Expiration Date 12/27/2025
Facility Type Other - BEHAVIORAL HEALTH FACILIT
Lab Director CLARKE GEORGE

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