34D2306022 CLIA NUMBER - ATRIUM HEALTH PRIMARY CARE ONE HEALTH FAMILY MEDICINE- WATERSIDE

Laboratory Demographics

  • CLIA Code: 34D2306022
  • Facility Name: ATRIUM HEALTH PRIMARY CARE ONE HEALTH FAMILY MEDICINE- WATERSIDE
  • Facility Address: 7482 WATERSIDE CROSSING BLVD, SUITE 202
    DENVER, NC
    ZIP 28037
  • Facility Phone: 704 801-7320
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RYAN S. BROOKS
  • NPI Number: 1811517170
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D2306022
LAB Type Physician Office
Facility Name ATRIUM HEALTH PRIMARY CARE ONE HEALTH FAMILY MEDICINE- WATERSIDE
Street 7482 WATERSIDE CROSSING BLVD, SUITE 202
City DENVER
State NC
ZIP 28037
Phone 704 801-7320
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/11/2024
Certificate Expiration Date 6/10/2026
Facility Type Physician Office
Lab Director RYAN S. BROOKS

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