34D2167034 CLIA NUMBER - PRIME SURGICAL SUITES, LLC

Laboratory Demographics

  • CLIA Code: 34D2167034
  • Facility Name: PRIME SURGICAL SUITES, LLC
  • Facility Address: 180 RIVER BEND DRIVE
    GRANITE FALLS, NC
    ZIP 28630
  • Facility Phone: 828 757-5100
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: TERESA D. BURWELL
  • NPI Number: 1437623626
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D2167034
LAB Type Ambulatory Surgery Center
Facility Name PRIME SURGICAL SUITES, LLC
Street 180 RIVER BEND DRIVE
City GRANITE FALLS
State NC
ZIP 28630
Phone 828 757-5100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/31/2025
Certificate Expiration Date 5/30/2027
Facility Type Ambulatory Surgery Center
Lab Director TERESA D. BURWELL

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