34D1103001 CLIA NUMBER - MOUNTAIN LAUREL FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 34D1103001
  • Facility Name: MOUNTAIN LAUREL FAMILY PRACTICE
  • Facility Address: 222 LONGVUE DR
    BOONE, NC
    ZIP 28607
  • Facility Phone: 828 355-9642
  • Facility Type: Practitioner Other
  • Facility Type: Microscopy
  • Lab Director: LEANNE YOUNG-FRITCHIE
  • NPI Number: 1023140340
  • Taxonomy: 311ZA0620X - Custodial Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D1103001
LAB Type Practitioner Other
Facility Name MOUNTAIN LAUREL FAMILY PRACTICE
Street 222 LONGVUE DR
City BOONE
State NC
ZIP 28607
Phone 828 355-9642
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 7/31/2025
Certificate Expiration Date 7/30/2027
Facility Type Practitioner Other
Lab Director LEANNE YOUNG-FRITCHIE

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