34D0655519 CLIA NUMBER - IREDELL MEMORIAL HOSPITAL INC--HB/SNF

Laboratory Demographics

  • CLIA Code: 34D0655519
  • Facility Name: IREDELL MEMORIAL HOSPITAL INC--HB/SNF
  • Facility Address: PO BOX 1828
    STATESVILLE, NC
    ZIP 28687
  • Facility Phone: 704 873-5661
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: BENSON OKEIYI
  • NPI Number: 1588709596
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 34D0655519
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name IREDELL MEMORIAL HOSPITAL INC--HB/SNF
Street PO BOX 1828
City STATESVILLE
State NC
ZIP 28687
Phone 704 873-5661
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director BENSON OKEIYI

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