34D0929805 CLIA NUMBER - ROWAN DIAGNOSTIC CLINIC, PA

Laboratory Demographics

  • CLIA Code: 34D0929805
  • Facility Name: ROWAN DIAGNOSTIC CLINIC, PA
  • Facility Address: 611 MOCKSVILLE AVENUE
    SALISBURY, NC
    ZIP 28144
  • Facility Phone: 704 633-7220
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: FREDERICK U. GOSS
  • NPI Number: 1427390657
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D0929805
LAB Type Physician Office
Facility Name ROWAN DIAGNOSTIC CLINIC, PA
Street 611 MOCKSVILLE AVENUE
City SALISBURY
State NC
ZIP 28144
Phone 704 633-7220
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 10/1/2024
Certificate Expiration Date 9/30/2026
Facility Type Physician Office
Lab Director FREDERICK U. GOSS

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