34D2300951 CLIA NUMBER - METABOLIC RESET CLINIC, LLC

Laboratory Demographics

  • CLIA Code: 34D2300951
  • Facility Name: METABOLIC RESET CLINIC, LLC
  • Facility Address: 1122 SAM NEWELL RD STE 114
    MATTHEWS, NC
    ZIP 28105
  • Facility Phone: 980 430-3130
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: GRETCHEN LAWSON
  • NPI Number: 1902671589
  • Taxonomy: 363LP2300X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 34D2300951
LAB Type Community Clinic
Facility Name METABOLIC RESET CLINIC, LLC
Street 1122 SAM NEWELL RD STE 114
City MATTHEWS
State NC
ZIP 28105
Phone 980 430-3130
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/19/2024
Certificate Expiration Date 3/18/2026
Facility Type Community Clinic
Lab Director GRETCHEN LAWSON

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