34D2041020 CLIA NUMBER - ROSEDALE HEALTH AND WELLNESS

Laboratory Demographics

  • CLIA Code: 34D2041020
  • Facility Name: ROSEDALE HEALTH AND WELLNESS
  • Facility Address: 103 COMMERCE CENTRE DRIVE, SUITE 103
    HUNTERSVILLE, NC
    ZIP 28078
  • Facility Phone: 704 948-8582
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FREDERICK A. CRUICKSHANK
  • NPI Number: 1407937972
  • Taxonomy: 207RI0200X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D2041020
LAB Type Physician Office
Facility Name ROSEDALE HEALTH AND WELLNESS
Street 103 COMMERCE CENTRE DRIVE, SUITE 103
City HUNTERSVILLE
State NC
ZIP 28078
Phone 704 948-8582
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/15/2024
Certificate Expiration Date 5/14/2026
Facility Type Physician Office
Lab Director FREDERICK A. CRUICKSHANK

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