34D0723251 CLIA NUMBER - ALBERT WHITAKER JR MD

Laboratory Demographics

  • CLIA Code: 34D0723251
  • Facility Name: ALBERT WHITAKER JR MD
  • Facility Address: 224 S NEW HOPE RD STE K
    GASTONIA, NC
    ZIP 28054
  • Facility Phone: 704 867-7494
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALBERT WHITAKER
  • NPI Number: 1114079365
  • Taxonomy: 208D00000X - General Practice

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 34D0723251
LAB Type Physician Office
Facility Name ALBERT WHITAKER JR MD
Street 224 S NEW HOPE RD STE K
City GASTONIA
State NC
ZIP 28054
Phone 704 867-7494
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director ALBERT WHITAKER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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