34D2053990 CLIA NUMBER - LIVE WELL WNC

Laboratory Demographics

  • CLIA Code: 34D2053990
  • Facility Name: LIVE WELL WNC
  • Facility Address: 40 N MERRIMON AVENUE, SUITE 305
    ASHEVILLE, NC
    ZIP 28804
  • Facility Phone: 828 575-9562
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: GRACE G. EVINS
  • NPI Number: 1033590146
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 34D2053990
LAB Type Physician Office
Facility Name LIVE WELL WNC
Street 40 N MERRIMON AVENUE, SUITE 305
City ASHEVILLE
State NC
ZIP 28804
Phone 828 575-9562
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/14/2023
Certificate Expiration Date 7/13/2025
Facility Type Physician Office
Lab Director GRACE G. EVINS

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This page was last updated on: 6/4/2025