34D0709028 CLIA NUMBER - SALISBURY INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 34D0709028
  • Facility Name: SALISBURY INTERNAL MEDICINE
  • Facility Address: 319 MOCKSVILLE AVE
    SALISBURY, NC
    ZIP 28144
  • Facility Phone: 704 637-3538
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DEMMING M. WARD
  • NPI Number: 1740477710
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D0709028
LAB Type Physician Office
Facility Name SALISBURY INTERNAL MEDICINE
Street 319 MOCKSVILLE AVE
City SALISBURY
State NC
ZIP 28144
Phone 704 637-3538
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director DEMMING M. WARD

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