34D2324974 CLIA NUMBER - TRIANGLE FACIAL PLASTIC SURGERY

Laboratory Demographics

  • CLIA Code: 34D2324974
  • Facility Name: TRIANGLE FACIAL PLASTIC SURGERY
  • Facility Address: 9104 FALLS OF NEUSE RD, SUITE 204
    RALEIGH, NC
    ZIP 27615
  • Facility Phone: 919 706-4900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ADAM M. BECKER
  • NPI Number: 1427680180
  • Taxonomy: 207YX0905X - Otolaryngology

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CLIA Record

Field Name Field Value
CLIA Number 34D2324974
LAB Type Physician Office
Facility Name TRIANGLE FACIAL PLASTIC SURGERY
Street 9104 FALLS OF NEUSE RD, SUITE 204
City RALEIGH
State NC
ZIP 27615
Phone 919 706-4900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2025
Certificate Expiration Date 6/3/2027
Facility Type Physician Office
Lab Director ADAM M. BECKER

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