34D2245061 CLIA NUMBER - PPADBVL LLC

Laboratory Demographics

  • CLIA Code: 34D2245061
  • Facility Name: PPADBVL LLC
  • Facility Address: 730 EAST MAIN ST
    BURNSVILLE, NC
    ZIP 28714
  • Facility Phone: 828 678-1121
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: MATTHEW D. RAINES
  • NPI Number: 1508518689
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D2245061
LAB Type Community Clinic
Facility Name PPADBVL LLC
Street 730 EAST MAIN ST
City BURNSVILLE
State NC
ZIP 28714
Phone 828 678-1121
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/8/2023
Certificate Expiration Date 12/7/2025
Facility Type Community Clinic
Lab Director MATTHEW D. RAINES

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