34D2259884 CLIA NUMBER - NORTHERN CARDIAC REHABILITATION DEPARTMENT OF NORTHERN HOSPITAL

Laboratory Demographics

  • CLIA Code: 34D2259884
  • Facility Name: NORTHERN CARDIAC REHABILITATION DEPARTMENT OF NORTHERN HOSPITAL
  • Facility Address: 806 S SOUTH STREET
    MOUNT AIRY, NC
    ZIP 27030
  • Facility Phone: 336 719-7062
  • Facility Type: Other - CARDIAC REHAB
  • Facility Type: Waiver
  • Lab Director: KIM L. CHEEK BSMT
  • NPI Number: 1457412926
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 34D2259884
LAB Type Other - CARDIAC REHAB
Facility Name NORTHERN CARDIAC REHABILITATION DEPARTMENT OF NORTHERN HOSPITAL
Street 806 S SOUTH STREET
City MOUNT AIRY
State NC
ZIP 27030
Phone 336 719-7062
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2024
Certificate Expiration Date 5/11/2026
Facility Type Other - CARDIAC REHAB
Lab Director KIM L. CHEEK BSMT

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