34D2168029 CLIA NUMBER - IMPERIAL HEALTH SERVICES, LLC

Laboratory Demographics

  • CLIA Code: 34D2168029
  • Facility Name: IMPERIAL HEALTH SERVICES, LLC
  • Facility Address: 707 SOUTH MAIN STREET
    KANNAPOLIS, NC
    ZIP 28081
  • Facility Phone: 704 825-8724
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PAULA L. DIXON
  • NPI Number: 1629504949
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 34D2168029
LAB Type Physician Office
Facility Name IMPERIAL HEALTH SERVICES, LLC
Street 707 SOUTH MAIN STREET
City KANNAPOLIS
State NC
ZIP 28081
Phone 704 825-8724
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/19/2025
Certificate Expiration Date 6/18/2027
Facility Type Physician Office
Lab Director PAULA L. DIXON

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