34D0963416 CLIA NUMBER - ATRIUM HEALTH PRIMARY CARE EDISON SQUARE FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 34D0963416
  • Facility Name: ATRIUM HEALTH PRIMARY CARE EDISON SQUARE FAMILY MEDICINE
  • Facility Address: 10030 EDISON SQUARE DRIVE NW SUITE 100
    CONCORD, NC
    ZIP 28027
  • Facility Phone: 704 403-7830
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MARC DY
  • NPI Number: 1295967586
  • Taxonomy: 207QS0010X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 34D0963416
LAB Type Physician Office
Facility Name ATRIUM HEALTH PRIMARY CARE EDISON SQUARE FAMILY MEDICINE
Street 10030 EDISON SQUARE DRIVE NW SUITE 100
City CONCORD
State NC
ZIP 28027
Phone 704 403-7830
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 9/11/2024
Certificate Expiration Date 9/10/2026
Facility Type Physician Office
Lab Director MARC DY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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