34D2328906 CLIA NUMBER - WAKE ENDOSCOPY CENTER - CARY

Laboratory Demographics

  • CLIA Code: 34D2328906
  • Facility Name: WAKE ENDOSCOPY CENTER - CARY
  • Facility Address: 929 KILDAIRE FARM ROAD SUITE 105
    CARY, NC
    ZIP 27511
  • Facility Phone: 919 341-3544
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. SANJAY JEGANNATH
  • NPI Number: 1639058662
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D2328906
LAB Type Ambulatory Surgery Center
Facility Name WAKE ENDOSCOPY CENTER - CARY
Street 929 KILDAIRE FARM ROAD SUITE 105
City CARY
State NC
ZIP 27511
Phone 919 341-3544
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2025
Certificate Expiration Date 8/18/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. SANJAY JEGANNATH

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