34D2242610 CLIA NUMBER - SUPREME WELLNESS CENTER, LLC

Laboratory Demographics

  • CLIA Code: 34D2242610
  • Facility Name: SUPREME WELLNESS CENTER, LLC
  • Facility Address: 148 E MORGAN ST STE B
    WADESBORO, NC
    ZIP 28170
  • Facility Phone: 704 695-0694
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: TAMARA GARRIS
  • NPI Number: 1437814621
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 34D2242610
LAB Type Home Health Agency
Facility Name SUPREME WELLNESS CENTER, LLC
Street 148 E MORGAN ST STE B
City WADESBORO
State NC
ZIP 28170
Phone 704 695-0694
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/10/2023
Certificate Expiration Date 11/9/2025
Facility Type Home Health Agency
Lab Director TAMARA GARRIS

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