34D2305829 CLIA NUMBER - MMT NORTH CAROLINA LLC

Laboratory Demographics

  • CLIA Code: 34D2305829
  • Facility Name: MMT NORTH CAROLINA LLC
  • Facility Address: 55 BRADLEY BRANCH ROAD
    ARDEN, NC
    ZIP 28704
  • Facility Phone: 843 284-6331
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: STACE HORINE
  • NPI Number: 1689442261
  • Taxonomy: 3416L0300X - Ambulance

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 34D2305829
LAB Type Ambulance
Facility Name MMT NORTH CAROLINA LLC
Street 55 BRADLEY BRANCH ROAD
City ARDEN
State NC
ZIP 28704
Phone 843 284-6331
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/6/2024
Certificate Expiration Date 6/5/2026
Facility Type Ambulance
Lab Director STACE HORINE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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