34D2020801 CLIA NUMBER - DESANTIS FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 34D2020801
  • Facility Name: DESANTIS FAMILY PRACTICE
  • Facility Address: 10 3RD AVENUE NE, SUITE 500
    HICKORY, NC
    ZIP 28601
  • Facility Phone: 828 304-6363
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: MICHAEL C. DESANTIS
  • NPI Number: 1568763795
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D2020801
LAB Type Physician Office
Facility Name DESANTIS FAMILY PRACTICE
Street 10 3RD AVENUE NE, SUITE 500
City HICKORY
State NC
ZIP 28601
Phone 828 304-6363
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 2/28/2023
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director MICHAEL C. DESANTIS

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