34D2309891 CLIA NUMBER - ADVAITA INTEGRATED MEDICINE

Laboratory Demographics

  • CLIA Code: 34D2309891
  • Facility Name: ADVAITA INTEGRATED MEDICINE
  • Facility Address: 880 MARTIN LUTHER KING JR BLVD
    CHAPEL HILL, NC
    ZIP 27514
  • Facility Phone: 919 893-4465
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: J EULAN JOHNSON III
  • NPI Number: 1437727088
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 34D2309891
LAB Type Physician Office
Facility Name ADVAITA INTEGRATED MEDICINE
Street 880 MARTIN LUTHER KING JR BLVD
City CHAPEL HILL
State NC
ZIP 27514
Phone 919 893-4465
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2024
Certificate Expiration Date 8/21/2026
Facility Type Physician Office
Lab Director J EULAN JOHNSON III

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