34D2076843 CLIA NUMBER - BIO-MEDICAL APPLICATION OF NC FMC HICKORY HOME

Laboratory Demographics

  • CLIA Code: 34D2076843
  • Facility Name: BIO-MEDICAL APPLICATION OF NC FMC HICKORY HOME
  • Facility Address: 1899 TATE BLVD SUITE 2102
    HICKORY, NC
    ZIP 28602
  • Facility Phone: 980 254-4563
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DAVID L. HARVEY
  • NPI Number: 1619394962
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D2076843
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name BIO-MEDICAL APPLICATION OF NC FMC HICKORY HOME
Street 1899 TATE BLVD SUITE 2102
City HICKORY
State NC
ZIP 28602
Phone 980 254-4563
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2024
Certificate Expiration Date 4/27/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DAVID L. HARVEY

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