34D1093882 CLIA NUMBER - HENDERSON COUNTY WELLNESS CLINIC

Laboratory Demographics

  • CLIA Code: 34D1093882
  • Facility Name: HENDERSON COUNTY WELLNESS CLINIC
  • Facility Address: 100 N KING STREET, SUITE 500
    HENDERSONVILLE, NC
    ZIP 28792
  • Facility Phone: 828 694-7991
  • Facility Type: Practitioner Other
  • Facility Type: Microscopy
  • Lab Director: JAMIE J. GIBBS
  • NPI Number: 1144646092
  • Taxonomy: 332U00000X - Home Delivered Meals

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CLIA Record

Field Name Field Value
CLIA Number 34D1093882
LAB Type Practitioner Other
Facility Name HENDERSON COUNTY WELLNESS CLINIC
Street 100 N KING STREET, SUITE 500
City HENDERSONVILLE
State NC
ZIP 28792
Phone 828 694-7991
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 7/9/2025
Certificate Expiration Date 7/8/2027
Facility Type Practitioner Other
Lab Director JAMIE J. GIBBS

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