34D2134019 CLIA NUMBER - VIVA MED

Laboratory Demographics

  • CLIA Code: 34D2134019
  • Facility Name: VIVA MED
  • Facility Address: 705 WH SMITH BLVD
    GREENVILLE, NC
    ZIP 27834
  • Facility Phone: 252 329-8482
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER E. LACROIX
  • NPI Number: 1245793991
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D2134019
LAB Type Physician Office
Facility Name VIVA MED
Street 705 WH SMITH BLVD
City GREENVILLE
State NC
ZIP 27834
Phone 252 329-8482
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/25/2025
Certificate Expiration Date 7/24/2027
Facility Type Physician Office
Lab Director CHRISTOPHER E. LACROIX

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