34D2320814 CLIA NUMBER - WAKEMED CENTER FOR COMMUNITY HEALTH-KING'S RIDGE

Laboratory Demographics

  • CLIA Code: 34D2320814
  • Facility Name: WAKEMED CENTER FOR COMMUNITY HEALTH-KING'S RIDGE
  • Facility Address: 200 MICHAEL J, SMITH LANE
    RALEIGH, NC
    ZIP 27610
  • Facility Phone: 919 350-0700
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. GEORGE CLARKE
  • NPI Number: 1295855054
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 34D2320814
LAB Type Community Clinic
Facility Name WAKEMED CENTER FOR COMMUNITY HEALTH-KING'S RIDGE
Street 200 MICHAEL J, SMITH LANE
City RALEIGH
State NC
ZIP 27610
Phone 919 350-0700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2025
Certificate Expiration Date 3/24/2027
Facility Type Community Clinic
Lab Director DR. GEORGE CLARKE

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