34D2306545 CLIA NUMBER - TWENTY-ONE MEDICAL PLLC

Laboratory Demographics

  • CLIA Code: 34D2306545
  • Facility Name: TWENTY-ONE MEDICAL PLLC
  • Facility Address: 11940 CAROLINA PLACE PARKWAY SUITE 100
    PINEVILLE, NC
    ZIP 28134
  • Facility Phone: (704) 227-5060
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: SHAWN OKEEFE
  • NPI Number: 1629841697
  • Taxonomy: 363A00000X - Physician Assistant

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 34D2306545
LAB Type Practitioner Other
Facility Name TWENTY-ONE MEDICAL PLLC
Street 11940 CAROLINA PLACE PARKWAY SUITE 100
City PINEVILLE
State NC
ZIP 28134
Phone 7042275060
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/20/2024
Certificate Expiration Date 6/19/2026
Facility Type Practitioner Other
Lab Director SHAWN OKEEFE

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: 5/18/2026