34D2156078 CLIA NUMBER - HAZELWOOD HEALTHCARE, PLLC

Laboratory Demographics

  • CLIA Code: 34D2156078
  • Facility Name: HAZELWOOD HEALTHCARE, PLLC
  • Facility Address: 367 DELLWOOD ROAD SUITE A-4
    WAYNESVILLE, NC
    ZIP 28786
  • Facility Phone: 828 400-2005
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MATTHEW E. HOLMES
  • NPI Number: 1790817724
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2156078
LAB Type Physician Office
Facility Name HAZELWOOD HEALTHCARE, PLLC
Street 367 DELLWOOD ROAD SUITE A-4
City WAYNESVILLE
State NC
ZIP 28786
Phone 828 400-2005
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/10/2024
Certificate Expiration Date 10/9/2026
Facility Type Physician Office
Lab Director MATTHEW E. HOLMES

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