34D2171936 CLIA NUMBER - WELLNESS FOR LIFE, PLLC

Laboratory Demographics

  • CLIA Code: 34D2171936
  • Facility Name: WELLNESS FOR LIFE, PLLC
  • Facility Address: 648 ALMONDRIDGE DRIVE
    STANLEYVILLE, NC
    ZIP 27045
  • Facility Phone: (336) 407-2754
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LORI O. CORDIAL
  • NPI Number: 1922659416
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D2171936
LAB Type Physician Office
Facility Name WELLNESS FOR LIFE, PLLC
Street 648 ALMONDRIDGE DRIVE
City STANLEYVILLE
State NC
ZIP 27045
Phone 3364072754
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/11/2025
Certificate Expiration Date 9/10/2027
Facility Type Physician Office
Lab Director LORI O. CORDIAL

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This page was last updated on: 5/18/2026