34D2315478 CLIA NUMBER - LRC TESTING CENTER

Laboratory Demographics

  • CLIA Code: 34D2315478
  • Facility Name: LRC TESTING CENTER
  • Facility Address: 11709 FRUEHAUF DRIVE SUITE 113
    CHARLOTTE, NC
    ZIP 28273
  • Facility Phone: 803 404-7789
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: JAZMINE M. MCFADDEN
  • NPI Number: 1306649710
  • Taxonomy: 261QX0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D2315478
LAB Type Independent
Facility Name LRC TESTING CENTER
Street 11709 FRUEHAUF DRIVE SUITE 113
City CHARLOTTE
State NC
ZIP 28273
Phone 803 404-7789
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2024
Certificate Expiration Date 12/12/2026
Facility Type Independent
Lab Director JAZMINE M. MCFADDEN

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