34D2235520 CLIA NUMBER - NUTRADRIP IV HYDRATION & WELLNESS CLINIC PLLC

Laboratory Demographics

  • CLIA Code: 34D2235520
  • Facility Name: NUTRADRIP IV HYDRATION & WELLNESS CLINIC PLLC
  • Facility Address: 4049 CAPITAL DR
    ROCKY MOUNT, NC
    ZIP 27804
  • Facility Phone: 252 443-3550
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: LATOYA D. MCCURDY
  • NPI Number: 1013669654
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 34D2235520
LAB Type Practitioner Other
Facility Name NUTRADRIP IV HYDRATION & WELLNESS CLINIC PLLC
Street 4049 CAPITAL DR
City ROCKY MOUNT
State NC
ZIP 27804
Phone 252 443-3550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/9/2023
Certificate Expiration Date 9/8/2025
Facility Type Practitioner Other
Lab Director LATOYA D. MCCURDY

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This page was last updated on: 6/4/2025