34D0902290 CLIA NUMBER - KINTEGRA FAMILY MEDICINE-MARKETPLACE

Laboratory Demographics

  • CLIA Code: 34D0902290
  • Facility Name: KINTEGRA FAMILY MEDICINE-MARKETPLACE
  • Facility Address: 1760 E DIXON BLVD
    SHELBY, NC
    ZIP 28152
  • Facility Phone: 704 874-1959
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: SHIRLEY V. OCLOO
  • NPI Number: 1528046513
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D0902290
LAB Type Federally Qualified Health Center
Facility Name KINTEGRA FAMILY MEDICINE-MARKETPLACE
Street 1760 E DIXON BLVD
City SHELBY
State NC
ZIP 28152
Phone 704 874-1959
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 1/6/2025
Certificate Expiration Date 1/5/2027
Facility Type Federally Qualified Health Center
Lab Director SHIRLEY V. OCLOO

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