34D2299926 CLIA NUMBER - CAPITAL PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 34D2299926
  • Facility Name: CAPITAL PRIMARY CARE
  • Facility Address: 10640 DURANT RD STE 101
    RALEIGH, NC
    ZIP 27614
  • Facility Phone: 919 870-0197
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAMESH KONDURU
  • NPI Number: 1699558742
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D2299926
LAB Type Physician Office
Facility Name CAPITAL PRIMARY CARE
Street 10640 DURANT RD STE 101
City RALEIGH
State NC
ZIP 27614
Phone 919 870-0197
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/29/2024
Certificate Expiration Date 2/27/2026
Facility Type Physician Office
Lab Director RAMESH KONDURU

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