34D2175650 CLIA NUMBER - FRYECARE OUTPATIENT CENTER

Laboratory Demographics

  • CLIA Code: 34D2175650
  • Facility Name: FRYECARE OUTPATIENT CENTER
  • Facility Address: 1781 TATE BOULEVARD SE
    HICKORY, NC
    ZIP 28602
  • Facility Phone: 828 315-3731
  • Facility Type: Other - OUTPATIENT SERVICES
  • Facility Type: Waiver
  • Lab Director: JONATHAN N. WILCOCK
  • NPI Number: 1144686437
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 34D2175650
LAB Type Other - OUTPATIENT SERVICES
Facility Name FRYECARE OUTPATIENT CENTER
Street 1781 TATE BOULEVARD SE
City HICKORY
State NC
ZIP 28602
Phone 828 315-3731
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/26/2023
Certificate Expiration Date 11/25/2025
Facility Type Other - OUTPATIENT SERVICES
Lab Director JONATHAN N. WILCOCK

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