| NAME |
CLAYTON-EAST RALEIGH VA CLINIC |
| STATE |
NORTH CAROLINA |
| STREET ADDR. 1 |
11618 US 70 BUSINESS HIGHWAY WEST |
| STREET ADDR. 2 |
SUITES 100 AND 200 |
| CITY |
CLAYTON |
| ZIP |
27520-2275 |
| OFFICIAL VA NAME |
CLAYTON-EAST RALEIGH VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
CLAYTON VA CLINIC |
| EFFECTIVE DATE/TIME |
-
- 2020-01-15 00:00:00
- STATUS: ACTIVE
- NPI: 1003446105
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
558GH |
| IDENTIFIER |
-
- CODING SYSTEM: CLIA
- ID: 34D2179253
|
