34D0246935 CLIA NUMBER - GRANITE FALLS FAMILY MEDICAL PRACTICE

Laboratory Demographics

  • CLIA Code: 34D0246935
  • Facility Name: GRANITE FALLS FAMILY MEDICAL PRACTICE
  • Facility Address: 4132 HICKORY BOULEVARD
    GRANITE FALLS, NC
    ZIP 28630
  • Facility Phone: (828) 396-3168
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EDWARD J. BUJOLD
  • NPI Number: 1861685364
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D0246935
LAB Type Physician Office
Facility Name GRANITE FALLS FAMILY MEDICAL PRACTICE
Street 4132 HICKORY BOULEVARD
City GRANITE FALLS
State NC
ZIP 28630
Phone 8283963168
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2025
Certificate Expiration Date 3/31/2027
Facility Type Physician Office
Lab Director EDWARD J. BUJOLD

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This page was last updated on: 5/18/2026