34D2078640 CLIA NUMBER - MED1 SERVICES

Laboratory Demographics

  • CLIA Code: 34D2078640
  • Facility Name: MED1 SERVICES
  • Facility Address: 4981 INDUSTRIAL DRIVE
    SHALLOTTE, NC
    ZIP 28470
  • Facility Phone: 910 739-5556
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: TIFFANY SKIMMIEHORN
  • NPI Number: 1700277639
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 34D2078640
LAB Type Ambulance
Facility Name MED1 SERVICES
Street 4981 INDUSTRIAL DRIVE
City SHALLOTTE
State NC
ZIP 28470
Phone 910 739-5556
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/2/2024
Certificate Expiration Date 6/1/2026
Facility Type Ambulance
Lab Director TIFFANY SKIMMIEHORN

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