34D0916238 CLIA NUMBER - KIDNEY CARE PC

Laboratory Demographics

  • CLIA Code: 34D0916238
  • Facility Name: KIDNEY CARE PC
  • Facility Address: 2603 DAVIE AVE
    STATESVILLE, NC
    ZIP 28625
  • Facility Phone: 704 662-8500
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: WOLFGANG E. LOHRMANN MD
  • NPI Number: 1295780781
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D0916238
LAB Type Physician Office
Facility Name KIDNEY CARE PC
Street 2603 DAVIE AVE
City STATESVILLE
State NC
ZIP 28625
Phone 704 662-8500
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 6/18/2024
Certificate Expiration Date 6/17/2026
Facility Type Physician Office
Lab Director WOLFGANG E. LOHRMANN MD

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