34D1054686 CLIA NUMBER - INS-STATESVILLE

Laboratory Demographics

  • CLIA Code: 34D1054686
  • Facility Name: INS-STATESVILLE
  • Facility Address: 2603 DAVIE AVE
    STATESVILLE, NC
    ZIP 28625
  • Facility Phone: (704) 878-6590
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: WOLFGANG E. LOHRMANN
  • NPI Number: 1205889813
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D1054686
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name INS-STATESVILLE
Street 2603 DAVIE AVE
City STATESVILLE
State NC
ZIP 28625
Phone 7048786590
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/30/2026
Certificate Expiration Date 5/29/2028
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director WOLFGANG E. LOHRMANN

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