34D2217466 CLIA NUMBER - IREDELL CHARTER ACADEMY

Laboratory Demographics

  • CLIA Code: 34D2217466
  • Facility Name: IREDELL CHARTER ACADEMY
  • Facility Address: 251 HOME IMPROVEMENT STREET
    TROUTMAN, NC
    ZIP 28166
  • Facility Phone: 704 508-0104
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: LORI G. HOBBS
  • NPI Number: 1205136595
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D2217466
LAB Type School/Student Health Service
Facility Name IREDELL CHARTER ACADEMY
Street 251 HOME IMPROVEMENT STREET
City TROUTMAN
State NC
ZIP 28166
Phone 704 508-0104
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2025
Certificate Expiration Date 3/21/2027
Facility Type School/Student Health Service
Lab Director LORI G. HOBBS

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