34D2108451 CLIA NUMBER - VIDANT MEDICAL CENTER PATIENT TESTING CENTER

Laboratory Demographics

  • CLIA Code: 34D2108451
  • Facility Name: VIDANT MEDICAL CENTER PATIENT TESTING CENTER
  • Facility Address: 626 MEDICAL DRIVE
    GREENVILLE, NC
    ZIP 27835
  • Facility Phone: 252 847-5832
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: HEATHER L. SMITH
  • NPI Number: 1376049619
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D2108451
LAB Type Ancillary Testing Site in Health Care Center
Facility Name VIDANT MEDICAL CENTER PATIENT TESTING CENTER
Street 626 MEDICAL DRIVE
City GREENVILLE
State NC
ZIP 27835
Phone 252 847-5832
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/5/2024
Certificate Expiration Date 2/4/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director HEATHER L. SMITH

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This page was last updated on: 3/20/2025