34D2140521 CLIA NUMBER - HOME TOWN DIRECT CARE

Laboratory Demographics

  • CLIA Code: 34D2140521
  • Facility Name: HOME TOWN DIRECT CARE
  • Facility Address: 5 EAST MARION ST
    SHELBY, NC
    ZIP 28150
  • Facility Phone: 704 435-1100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THOMAS R. WHITE
  • NPI Number: 1346608114
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D2140521
LAB Type Physician Office
Facility Name HOME TOWN DIRECT CARE
Street 5 EAST MARION ST
City SHELBY
State NC
ZIP 28150
Phone 704 435-1100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/22/2023
Certificate Expiration Date 11/21/2025
Facility Type Physician Office
Lab Director THOMAS R. WHITE

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