34D2174480 CLIA NUMBER - PREMISE HEALTH OF NORTH CAROLINA MEDICAL, PC

Laboratory Demographics

  • CLIA Code: 34D2174480
  • Facility Name: PREMISE HEALTH OF NORTH CAROLINA MEDICAL, PC
  • Facility Address: 7033 LOUIS STEPHENS DRIVE, SUITE F17Q
    MORRISVILLE, NC
    ZIP 27560
  • Facility Phone: 919 994-6331
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JASON AMBROSE
  • NPI Number: 1346837739
  • Taxonomy: 207X00000X - Orthopaedic Surgery

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 34D2174480
LAB Type Physician Office
Facility Name PREMISE HEALTH OF NORTH CAROLINA MEDICAL, PC
Street 7033 LOUIS STEPHENS DRIVE, SUITE F17Q
City MORRISVILLE
State NC
ZIP 27560
Phone 919 994-6331
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2023
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director JASON AMBROSE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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