34D2037085 CLIA NUMBER - MATTHEWS SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 34D2037085
  • Facility Name: MATTHEWS SURGERY CENTER, LLC
  • Facility Address: 710 PARK CENTER DRIVE SUITE 100
    MATTHEWS, NC
    ZIP 28105
  • Facility Phone: 704 815-7880
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SCOTT D. BURBANK
  • NPI Number: 1013298926
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D2037085
LAB Type Ambulatory Surgery Center
Facility Name MATTHEWS SURGERY CENTER, LLC
Street 710 PARK CENTER DRIVE SUITE 100
City MATTHEWS
State NC
ZIP 28105
Phone 704 815-7880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/17/2024
Certificate Expiration Date 2/16/2026
Facility Type Ambulatory Surgery Center
Lab Director SCOTT D. BURBANK

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