34D2267316 CLIA NUMBER - PATHOLOGISTS DIAGNOSTIC LABORATORY, PA

Laboratory Demographics

  • CLIA Code: 34D2267316
  • Facility Name: PATHOLOGISTS DIAGNOSTIC LABORATORY, PA
  • Facility Address: 6835 MANATEE DRIVE
    CONCORD, NC
    ZIP 28025
  • Facility Phone: 336 306-5777
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: TIM D. WAX
  • NPI Number: 1003883877
  • Taxonomy: 207ZP0102X - Pathology

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CLIA Record

Field Name Field Value
CLIA Number 34D2267316
LAB Type Independent
Facility Name PATHOLOGISTS DIAGNOSTIC LABORATORY, PA
Street 6835 MANATEE DRIVE
City CONCORD
State NC
ZIP 28025
Phone 336 306-5777
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 2/4/2025
Certificate Expiration Date 2/3/2027
Facility Type Independent
Lab Director TIM D. WAX

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