34D0662997 CLIA NUMBER - IREDELL DAVIS BEHAVIORAL HEALTH HOSPITAL

Laboratory Demographics

  • CLIA Code: 34D0662997
  • Facility Name: IREDELL DAVIS BEHAVIORAL HEALTH HOSPITAL
  • Facility Address: 218 OLD MOCKSVILLE ROAD
    STATESVILLE, NC
    ZIP 28625
  • Facility Phone: 704 878-4948
  • Facility Type: Other - BEHAVIORAL HEALTH HOSPITA
  • Facility Type: Waiver
  • Lab Director: DR. ASHA C. SIGEI
  • NPI Number: 1154375178
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 34D0662997
LAB Type Other - BEHAVIORAL HEALTH HOSPITA
Facility Name IREDELL DAVIS BEHAVIORAL HEALTH HOSPITAL
Street 218 OLD MOCKSVILLE ROAD
City STATESVILLE
State NC
ZIP 28625
Phone 704 878-4948
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Other - BEHAVIORAL HEALTH HOSPITA
Lab Director DR. ASHA C. SIGEI

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