34D2180547 CLIA NUMBER - IREDELL FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 34D2180547
  • Facility Name: IREDELL FAMILY MEDICINE
  • Facility Address: 544 BRAWLEY SCHOOL ROAD SUITE A
    MOORESVILLE, NC
    ZIP 28117
  • Facility Phone: 704 630-5190
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JODI N. STUTTS
  • NPI Number: 1518215573
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 34D2180547
LAB Type Physician Office
Facility Name IREDELL FAMILY MEDICINE
Street 544 BRAWLEY SCHOOL ROAD SUITE A
City MOORESVILLE
State NC
ZIP 28117
Phone 704 630-5190
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/17/2024
Certificate Expiration Date 3/16/2026
Facility Type Physician Office
Lab Director JODI N. STUTTS

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