34D1085132 CLIA NUMBER - CPN DBA ATRIUM HEALTH PRIMARY CARE CFM LOCUST

Laboratory Demographics

  • CLIA Code: 34D1085132
  • Facility Name: CPN DBA ATRIUM HEALTH PRIMARY CARE CFM LOCUST
  • Facility Address: 123 PROFESSIONAL PARK DRIVE
    LOCUST, NC
    ZIP 28097
  • Facility Phone: 704 403-6760
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JOSHUA HALL
  • NPI Number: 1124294194
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D1085132
LAB Type Physician Office
Facility Name CPN DBA ATRIUM HEALTH PRIMARY CARE CFM LOCUST
Street 123 PROFESSIONAL PARK DRIVE
City LOCUST
State NC
ZIP 28097
Phone 704 403-6760
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 6/11/2024
Certificate Expiration Date 6/10/2026
Facility Type Physician Office
Lab Director JOSHUA HALL

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