34D1069493 CLIA NUMBER - CLIFFORD H MAULT, DO, PA

Laboratory Demographics

  • CLIA Code: 34D1069493
  • Facility Name: CLIFFORD H MAULT, DO, PA
  • Facility Address: 12 GRINDSTAFF COVE ROAD
    SYLVA, NC
    ZIP 28779
  • Facility Phone: 828 586-0807
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CLIFFORD H. MAULT
  • NPI Number: 1902870736
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D1069493
LAB Type Physician Office
Facility Name CLIFFORD H MAULT, DO, PA
Street 12 GRINDSTAFF COVE ROAD
City SYLVA
State NC
ZIP 28779
Phone 828 586-0807
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2025
Certificate Expiration Date 6/6/2027
Facility Type Physician Office
Lab Director CLIFFORD H. MAULT

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