34D2303374 CLIA NUMBER - WEST LAKE PREPARATORY ACADEMY

Laboratory Demographics

  • CLIA Code: 34D2303374
  • Facility Name: WEST LAKE PREPARATORY ACADEMY
  • Facility Address: 1691 FORNEY CREEK PKWY
    DENVER, NC
    ZIP 28037
  • Facility Phone: 540 966-2202
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: TIM L. COOPER
  • NPI Number: 1336253558
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 34D2303374
LAB Type School/Student Health Service
Facility Name WEST LAKE PREPARATORY ACADEMY
Street 1691 FORNEY CREEK PKWY
City DENVER
State NC
ZIP 28037
Phone 540 966-2202
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/24/2024
Certificate Expiration Date 4/23/2026
Facility Type School/Student Health Service
Lab Director TIM L. COOPER

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