34D0655475 CLIA NUMBER - CHARLES A CANNON JR MEM HOSPITAL LAB

Laboratory Demographics

  • CLIA Code: 34D0655475
  • Facility Name: CHARLES A CANNON JR MEM HOSPITAL LAB
  • Facility Address: 434 HOSPITAL DRIVE
    LINVILLE, NC
    ZIP 28646
  • Facility Phone: 828 737-7500
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. TIM D. WAX
  • NPI Number: 1255723318
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 34D0655475
LAB Type Hospital
Facility Name CHARLES A CANNON JR MEM HOSPITAL LAB
Street 434 HOSPITAL DRIVE
City LINVILLE
State NC
ZIP 28646
Phone 828 737-7500
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 12/1/2023
Certificate Expiration Date 11/30/2025
Facility Type Hospital
Lab Director DR. TIM D. WAX

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