34D2064010 CLIA NUMBER - FRYECARE CARDIOLOGY - BOONE

Laboratory Demographics

  • CLIA Code: 34D2064010
  • Facility Name: FRYECARE CARDIOLOGY - BOONE
  • Facility Address: 178 HWY 105 EXT, SUITE 202
    BOONE, NC
    ZIP 28607
  • Facility Phone: 828 324-4804
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. LEVERNE S. FOX
  • NPI Number: 1023452281
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D2064010
LAB Type Physician Office
Facility Name FRYECARE CARDIOLOGY - BOONE
Street 178 HWY 105 EXT, SUITE 202
City BOONE
State NC
ZIP 28607
Phone 828 324-4804
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/25/2024
Certificate Expiration Date 6/24/2026
Facility Type Physician Office
Lab Director DR. LEVERNE S. FOX

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