34D2206454 CLIA NUMBER - DLP RUTHERFORD PHYSICIAN PRACTICES POLK MEDICAL SPECIALTIES

Laboratory Demographics

  • CLIA Code: 34D2206454
  • Facility Name: DLP RUTHERFORD PHYSICIAN PRACTICES POLK MEDICAL SPECIALTIES
  • Facility Address: 801 WEST MILLS STREET, SUITE B
    COLUMBUS, NC
    ZIP 28722
  • Facility Phone: 828 245-7626
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: LYNDA LACHANCE
  • NPI Number: 1962821322
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D2206454
LAB Type Physician Office
Facility Name DLP RUTHERFORD PHYSICIAN PRACTICES POLK MEDICAL SPECIALTIES
Street 801 WEST MILLS STREET, SUITE B
City COLUMBUS
State NC
ZIP 28722
Phone 828 245-7626
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 12/21/2024
Certificate Expiration Date 12/20/2026
Facility Type Physician Office
Lab Director LYNDA LACHANCE

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