34D0929191 CLIA NUMBER - BLUE RIDGE CARDIOLOGY AND INTERNAL MED

Laboratory Demographics

  • CLIA Code: 34D0929191
  • Facility Name: BLUE RIDGE CARDIOLOGY AND INTERNAL MED
  • Facility Address: 108 S STATE ST
    YADKINVILLE, NC
    ZIP 27055
  • Facility Phone: 910 679-2733
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TOMAS VYBIRAL
  • NPI Number: 1104239474
  • Taxonomy: 101YP2500X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 34D0929191
LAB Type Physician Office
Facility Name BLUE RIDGE CARDIOLOGY AND INTERNAL MED
Street 108 S STATE ST
City YADKINVILLE
State NC
ZIP 27055
Phone 910 679-2733
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/9/2025
Certificate Expiration Date 6/8/2027
Facility Type Physician Office
Lab Director TOMAS VYBIRAL

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