34D0246868 CLIA NUMBER - ATRIUM HEALTH WAKE FOREST BAPTIST INTERNAL MEDICINE CATAWBA

Laboratory Demographics

  • CLIA Code: 34D0246868
  • Facility Name: ATRIUM HEALTH WAKE FOREST BAPTIST INTERNAL MEDICINE CATAWBA
  • Facility Address: 1771 TATE BOULEVARD SE, SUITE 103
    HICKORY, NC
    ZIP 28602
  • Facility Phone: 828 322-1128
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LORENA HERNANDEZ - TELLEZ
  • NPI Number: 1013232438
  • Taxonomy: 2080P0202X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 34D0246868
LAB Type Physician Office
Facility Name ATRIUM HEALTH WAKE FOREST BAPTIST INTERNAL MEDICINE CATAWBA
Street 1771 TATE BOULEVARD SE, SUITE 103
City HICKORY
State NC
ZIP 28602
Phone 828 322-1128
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2024
Certificate Expiration Date 3/31/2026
Facility Type Physician Office
Lab Director LORENA HERNANDEZ - TELLEZ

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