34D1014956 CLIA NUMBER - COPPERFIELD DIALYSIS TOTAL RENAL CARE OF NC DBA

Laboratory Demographics

  • CLIA Code: 34D1014956
  • Facility Name: COPPERFIELD DIALYSIS TOTAL RENAL CARE OF NC DBA
  • Facility Address: 1030 VINEHAVEN DR
    CONCORD, NC
    ZIP 28025
  • Facility Phone: (253) 272-1916
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JOHN S. GERIG
  • NPI Number: 1417916909
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D1014956
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name COPPERFIELD DIALYSIS TOTAL RENAL CARE OF NC DBA
Street 1030 VINEHAVEN DR
City CONCORD
State NC
ZIP 28025
Phone 2532721916
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2025
Certificate Expiration Date 7/20/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JOHN S. GERIG

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This page was last updated on: 5/18/2026