34D2029680 CLIA NUMBER - BLUE RIDGE MEDICAL GROUP DBA CAROLINA DIGESTIVE CARE

Laboratory Demographics

  • CLIA Code: 34D2029680
  • Facility Name: BLUE RIDGE MEDICAL GROUP DBA CAROLINA DIGESTIVE CARE
  • Facility Address: 150 AUGUST STREET, SUITE 100
    MORGANTON, NC
    ZIP 28655
  • Facility Phone: 828 580-1187
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: KRISTEN N. OWENS
  • NPI Number: 1568425262
  • Taxonomy: 207ZP0102X - Pathology

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CLIA Record

Field Name Field Value
CLIA Number 34D2029680
LAB Type Ambulatory Surgery Center
Facility Name BLUE RIDGE MEDICAL GROUP DBA CAROLINA DIGESTIVE CARE
Street 150 AUGUST STREET, SUITE 100
City MORGANTON
State NC
ZIP 28655
Phone 828 580-1187
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/13/2025
Certificate Expiration Date 9/12/2027
Facility Type Ambulatory Surgery Center
Lab Director KRISTEN N. OWENS

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