34D2229008 CLIA NUMBER - SURGERY CENTER ON BLUEFIELD

Laboratory Demographics

  • CLIA Code: 34D2229008
  • Facility Name: SURGERY CENTER ON BLUEFIELD
  • Facility Address: 653 BLUEFIELD RD SUITE D
    MOORESVILLE, NC
    ZIP 28117
  • Facility Phone: 704 360-6470
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: HERBERT L. WETTREICH
  • NPI Number: 1518549393
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D2229008
LAB Type Ambulatory Surgery Center
Facility Name SURGERY CENTER ON BLUEFIELD
Street 653 BLUEFIELD RD SUITE D
City MOORESVILLE
State NC
ZIP 28117
Phone 704 360-6470
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2025
Certificate Expiration Date 7/5/2027
Facility Type Ambulatory Surgery Center
Lab Director HERBERT L. WETTREICH

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