34D1044795 CLIA NUMBER - VALDESE MEDICAL ASSOCIATES

Laboratory Demographics

CLIA Code: 34D1044795
Facility Name: VALDESE MEDICAL ASSOCIATES
Facility Address: 730 MALCOLM BOULEVARD, SUITE 150
CONNELLY SPRINGS, NC
ZIP 28612
Facility Phone: 828 874-4600
Facility Type: Physician Office
Facility Type: Microscopy
Lab Director: SHAWN A. HAMM
NPI Number: 1285735191
Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name	Field Value
CLIA Number	34D1044795
LAB Type	Physician Office
Facility Name	VALDESE MEDICAL ASSOCIATES
Street	730 MALCOLM BOULEVARD, SUITE 150
City	CONNELLY SPRINGS
State	NC
ZIP	28612
Phone	828 874-4600
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	8/29/2023
Certificate Expiration Date	8/28/2025
Facility Type	Physician Office
Lab Director	SHAWN A. HAMM

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This page was last updated on: 6/4/2025