34D2304103 CLIA NUMBER - WAKEMED MATERNAL FETAL MEDICINE

Laboratory Demographics

  • CLIA Code: 34D2304103
  • Facility Name: WAKEMED MATERNAL FETAL MEDICINE
  • Facility Address: 10880 DURANT RD. STE #300
    RALEIGH, NC
    ZIP 27614
  • Facility Phone: 919 350-7180
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CARMEN JE VONNE BEAMON
  • NPI Number: 1518521905
  • Taxonomy: 207VM0101X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 34D2304103
LAB Type Physician Office
Facility Name WAKEMED MATERNAL FETAL MEDICINE
Street 10880 DURANT RD. STE #300
City RALEIGH
State NC
ZIP 27614
Phone 919 350-7180
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/7/2024
Certificate Expiration Date 5/6/2026
Facility Type Physician Office
Lab Director CARMEN JE VONNE BEAMON

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