34D2197316 CLIA NUMBER - KIMBERLY-CLARK BERKELEY

Laboratory Demographics

  • CLIA Code: 34D2197316
  • Facility Name: KIMBERLY-CLARK BERKELEY
  • Facility Address: 32 SMYTHE AVENUE
    HENDERSONVILLE, NC
    ZIP 28792
  • Facility Phone: 770 587-7529
  • Facility Type: Industrial
  • Facility Type: Waiver
  • Lab Director: FRED KOHANNA
  • NPI Number: 1699423038
  • Taxonomy: 363LP0808X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 34D2197316
LAB Type Industrial
Facility Name KIMBERLY-CLARK BERKELEY
Street 32 SMYTHE AVENUE
City HENDERSONVILLE
State NC
ZIP 28792
Phone 770 587-7529
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/23/2024
Certificate Expiration Date 10/22/2026
Facility Type Industrial
Lab Director FRED KOHANNA

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