34D2187231 CLIA NUMBER - NORTHEAST DIGESTIVE POPLAR TENT

Laboratory Demographics

  • CLIA Code: 34D2187231
  • Facility Name: NORTHEAST DIGESTIVE POPLAR TENT
  • Facility Address: 9965 POPLAR TENT ROAD
    CONCORD, NC
    ZIP 28027
  • Facility Phone: 704 783-1833
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: VINAY M. PATEL
  • NPI Number: 1730410192
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 34D2187231
LAB Type Ambulatory Surgery Center
Facility Name NORTHEAST DIGESTIVE POPLAR TENT
Street 9965 POPLAR TENT ROAD
City CONCORD
State NC
ZIP 28027
Phone 704 783-1833
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/29/2024
Certificate Expiration Date 6/28/2026
Facility Type Ambulatory Surgery Center
Lab Director VINAY M. PATEL

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