34D1026756 CLIA NUMBER - MARATHON - ALLVAC

Laboratory Demographics

  • CLIA Code: 34D1026756
  • Facility Name: MARATHON - ALLVAC
  • Facility Address: 2020 ASHCRAFT AVENUE BUILDING
    MONROE, NC
    ZIP 28110
  • Facility Phone: 866 434-3255
  • Facility Type: Other - EMPLOYEE WELLNESS CLINIC
  • Facility Type: Waiver
  • Lab Director: JENNIFER NORRIS
  • NPI Number: 1760160055
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D1026756
LAB Type Other - EMPLOYEE WELLNESS CLINIC
Facility Name MARATHON - ALLVAC
Street 2020 ASHCRAFT AVENUE BUILDING
City MONROE
State NC
ZIP 28110
Phone 866 434-3255
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/15/2024
Certificate Expiration Date 6/14/2026
Facility Type Other - EMPLOYEE WELLNESS CLINIC
Lab Director JENNIFER NORRIS

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