34D0882543 CLIA NUMBER - COMMUNITY FREE CLINIC

Laboratory Demographics

  • CLIA Code: 34D0882543
  • Facility Name: COMMUNITY FREE CLINIC
  • Facility Address: 528-A LAKE CONCORD RD
    CONCORD, NC
    ZIP 28025
  • Facility Phone: 980 498-3051
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: JAMES H. COOKE JR
  • NPI Number: 1275677940
  • Taxonomy: 253J00000X - Foster Care Agency

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CLIA Record

Field Name Field Value
CLIA Number 34D0882543
LAB Type Community Clinic
Facility Name COMMUNITY FREE CLINIC
Street 528-A LAKE CONCORD RD
City CONCORD
State NC
ZIP 28025
Phone 980 498-3051
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 2/9/2024
Certificate Expiration Date 2/8/2026
Facility Type Community Clinic
Lab Director JAMES H. COOKE JR

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