34D2195969 CLIA NUMBER - TIMOTHY M RECTOR DDS, PA

Laboratory Demographics

  • CLIA Code: 34D2195969
  • Facility Name: TIMOTHY M RECTOR DDS, PA
  • Facility Address: #3 EAST STATE STREET
    WEST JEFFERSON, NC
    ZIP 28694
  • Facility Phone: 336 246-9266
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: TIMOTHY M. RECTOR
  • NPI Number: 1295804508
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 34D2195969
LAB Type Practitioner Other
Facility Name TIMOTHY M RECTOR DDS, PA
Street #3 EAST STATE STREET
City WEST JEFFERSON
State NC
ZIP 28694
Phone 336 246-9266
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/14/2024
Certificate Expiration Date 10/13/2026
Facility Type Practitioner Other
Lab Director TIMOTHY M. RECTOR

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