34D2307726 CLIA NUMBER - WAKEMED MYCARE 365 - UNIVERSITY PLACE

Laboratory Demographics

  • CLIA Code: 34D2307726
  • Facility Name: WAKEMED MYCARE 365 - UNIVERSITY PLACE
  • Facility Address: 237 S ESTES DR STE # 2A
    CHAPEL HILL, NC
    ZIP 27514
  • Facility Phone: 919 350-7180
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DONALD N. GARDNER
  • NPI Number: 1093586273
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D2307726
LAB Type Physician Office
Facility Name WAKEMED MYCARE 365 - UNIVERSITY PLACE
Street 237 S ESTES DR STE # 2A
City CHAPEL HILL
State NC
ZIP 27514
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 7/15/2024
Certificate Expiration Date 7/14/2026
Facility Type Physician Office
Lab Director DONALD N. GARDNER

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