34D0247274 CLIA NUMBER - IREDELL PHYSICIAN NETWORK, LLC DBA IREDELL INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 34D0247274
  • Facility Name: IREDELL PHYSICIAN NETWORK, LLC DBA IREDELL INTERNAL MEDICINE
  • Facility Address: 757 BRYANT ST
    STATESVILLE, NC
    ZIP 28677
  • Facility Phone: 704 873-5658
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT WARD
  • NPI Number: 1235433806
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D0247274
LAB Type Physician Office
Facility Name IREDELL PHYSICIAN NETWORK, LLC DBA IREDELL INTERNAL MEDICINE
Street 757 BRYANT ST
City STATESVILLE
State NC
ZIP 28677
Phone 704 873-5658
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/9/2023
Certificate Expiration Date 12/8/2025
Facility Type Physician Office
Lab Director ROBERT WARD

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