34D1103385 CLIA NUMBER - MOUNTAIN MEDICAL ARTS

Laboratory Demographics

  • CLIA Code: 34D1103385
  • Facility Name: MOUNTAIN MEDICAL ARTS
  • Facility Address: 2 SOUTH MAIN STREET
    BURNSVILLE, NC
    ZIP 28714
  • Facility Phone: (828) 678-9352
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KELLY S. ROTHE
  • NPI Number: 1609856590
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D1103385
LAB Type Physician Office
Facility Name MOUNTAIN MEDICAL ARTS
Street 2 SOUTH MAIN STREET
City BURNSVILLE
State NC
ZIP 28714
Phone 8286789352
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 8/10/2025
Certificate Expiration Date 8/9/2027
Facility Type Physician Office
Lab Director KELLY S. ROTHE

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This page was last updated on: 6/29/2026