34D2327955 CLIA NUMBER - NORTH RALEIGH PLASTIC SURGERY

Laboratory Demographics

  • CLIA Code: 34D2327955
  • Facility Name: NORTH RALEIGH PLASTIC SURGERY
  • Facility Address: 3319 HERITAGE TRADE DR, SUITE 201
    WAKE FOREST, NC
    ZIP 27587
  • Facility Phone: 919 532-2270
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JUAN A. ORTIZ
  • NPI Number: 1457983116
  • Taxonomy: 208200000X - Plastic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 34D2327955
LAB Type Ambulatory Surgery Center
Facility Name NORTH RALEIGH PLASTIC SURGERY
Street 3319 HERITAGE TRADE DR, SUITE 201
City WAKE FOREST
State NC
ZIP 27587
Phone 919 532-2270
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/1/2025
Certificate Expiration Date 7/31/2027
Facility Type Ambulatory Surgery Center
Lab Director JUAN A. ORTIZ

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