34D1068369 CLIA NUMBER - FRYECARE LUNG CENTER

Laboratory Demographics

  • CLIA Code: 34D1068369
  • Facility Name: FRYECARE LUNG CENTER
  • Facility Address: 415 NORTH CENTER STREET SUITE 102
    HICKORY, NC
    ZIP 28601
  • Facility Phone: 828 322-2005
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MARY POLK
  • NPI Number: 1578002341
  • Taxonomy: 207RP1001X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D1068369
LAB Type Physician Office
Facility Name FRYECARE LUNG CENTER
Street 415 NORTH CENTER STREET SUITE 102
City HICKORY
State NC
ZIP 28601
Phone 828 322-2005
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/9/2023
Certificate Expiration Date 5/8/2025
Facility Type Physician Office
Lab Director DR. MARY POLK

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This page was last updated on: 3/20/2025