34D2019561 CLIA NUMBER - ATRIUM HEALTH SURGERY CENTER INDIAN TRAIL

Laboratory Demographics

  • CLIA Code: 34D2019561
  • Facility Name: ATRIUM HEALTH SURGERY CENTER INDIAN TRAIL
  • Facility Address: 6068 HIGHWAY 74 WEST
    INDIAN TRAIL, NC
    ZIP 28079
  • Facility Phone: 704 821-5192
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. JAMIE COLLETT
  • NPI Number: 1437459617
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D2019561
LAB Type Ambulatory Surgery Center
Facility Name ATRIUM HEALTH SURGERY CENTER INDIAN TRAIL
Street 6068 HIGHWAY 74 WEST
City INDIAN TRAIL
State NC
ZIP 28079
Phone 704 821-5192
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/2/2025
Certificate Expiration Date 2/1/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. JAMIE COLLETT

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