34D1086998 CLIA NUMBER - DENTON HEALTHCARE

Laboratory Demographics

  • CLIA Code: 34D1086998
  • Facility Name: DENTON HEALTHCARE
  • Facility Address: 18539 S NC HWY 109
    DENTON, NC
    ZIP 27239
  • Facility Phone: 336 589-5001
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: HELEN S. BLACKBURN
  • NPI Number: 1891959094
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 34D1086998
LAB Type Physician Office
Facility Name DENTON HEALTHCARE
Street 18539 S NC HWY 109
City DENTON
State NC
ZIP 27239
Phone 336 589-5001
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 7/24/2024
Certificate Expiration Date 7/23/2026
Facility Type Physician Office
Lab Director HELEN S. BLACKBURN

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