34D1051861 CLIA NUMBER - TUCKASEEGEE FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 34D1051861
  • Facility Name: TUCKASEEGEE FAMILY PRACTICE
  • Facility Address: 315 WIKE CEMETERY ROAD
    CULLOWHEE, NC
    ZIP 28723
  • Facility Phone: 828 293-0503
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: TIMOTHY L. JOHNSTON
  • NPI Number: 1770505653
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D1051861
LAB Type Physician Office
Facility Name TUCKASEEGEE FAMILY PRACTICE
Street 315 WIKE CEMETERY ROAD
City CULLOWHEE
State NC
ZIP 28723
Phone 828 293-0503
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 3/14/2024
Certificate Expiration Date 3/13/2026
Facility Type Physician Office
Lab Director TIMOTHY L. JOHNSTON

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