34D2321005 CLIA NUMBER - CARDINAL DERMATOLOGY CENTER

Laboratory Demographics

  • CLIA Code: 34D2321005
  • Facility Name: CARDINAL DERMATOLOGY CENTER
  • Facility Address: 150 WELLESLEY TRADE LANE, SUITE 204
    CARY, NC
    ZIP 27519
  • Facility Phone: 919 230-4016
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEVIN NETHERS
  • NPI Number: 1548087356
  • Taxonomy: 253Z00000X - In Home Supportive Care

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CLIA Record

Field Name Field Value
CLIA Number 34D2321005
LAB Type Physician Office
Facility Name CARDINAL DERMATOLOGY CENTER
Street 150 WELLESLEY TRADE LANE, SUITE 204
City CARY
State NC
ZIP 27519
Phone 919 230-4016
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2025
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director KEVIN NETHERS

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