34D1058572 CLIA NUMBER - DAVIDSON COUNTY HEALTH DPARTMENT COMMUNITY HEALTH,CLINIC & WIC

Laboratory Demographics

  • CLIA Code: 34D1058572
  • Facility Name: DAVIDSON COUNTY HEALTH DPARTMENT COMMUNITY HEALTH,CLINIC & WIC
  • Facility Address: 915 GREENSBORO STREET 2ND FLOOR
    LEXINGTON, NC
    ZIP 27292
  • Facility Phone: 336 242-2300
  • Facility Type: Public Health Laboratories
  • Facility Type: Waiver
  • Lab Director: LILLIAN KOONTZ
  • NPI Number: 1366589483
  • Taxonomy: 261QP0905X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D1058572
LAB Type Public Health Laboratories
Facility Name DAVIDSON COUNTY HEALTH DPARTMENT COMMUNITY HEALTH,CLINIC & WIC
Street 915 GREENSBORO STREET 2ND FLOOR
City LEXINGTON
State NC
ZIP 27292
Phone 336 242-2300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/8/2024
Certificate Expiration Date 9/7/2026
Facility Type Public Health Laboratories
Lab Director LILLIAN KOONTZ

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