34D0929192 CLIA NUMBER - BLUE RIDGE CARDIOLOGY & INTERNAL MED

Laboratory Demographics

  • CLIA Code: 34D0929192
  • Facility Name: BLUE RIDGE CARDIOLOGY & INTERNAL MED
  • Facility Address: 1909 WEST PARK DRIVE
    NORTH WILKESBORO, NC
    ZIP 28659
  • Facility Phone: 910 667-1001
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TOMAS VYBIRAL
  • NPI Number: 1881653525
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D0929192
LAB Type Physician Office
Facility Name BLUE RIDGE CARDIOLOGY & INTERNAL MED
Street 1909 WEST PARK DRIVE
City NORTH WILKESBORO
State NC
ZIP 28659
Phone 910 667-1001
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