34D2263683 CLIA NUMBER - DIVINE PURPOSE SERVICES LIMITED LLC

Laboratory Demographics

  • CLIA Code: 34D2263683
  • Facility Name: DIVINE PURPOSE SERVICES LIMITED LLC
  • Facility Address: 120 EAST DIXON BLVD
    SHELBY, NC
    ZIP 28152
  • Facility Phone: 704 481-7561
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: BRANDY N. USSERY
  • NPI Number: 1174897391
  • Taxonomy: 347C00000X - Private Vehicle

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CLIA Record

Field Name Field Value
CLIA Number 34D2263683
LAB Type Independent
Facility Name DIVINE PURPOSE SERVICES LIMITED LLC
Street 120 EAST DIXON BLVD
City SHELBY
State NC
ZIP 28152
Phone 704 481-7561
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2024
Certificate Expiration Date 6/30/2026
Facility Type Independent
Lab Director BRANDY N. USSERY

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