34D2316217 CLIA NUMBER - FRYECARE MEDICAL WEIGHT LOSS

Laboratory Demographics

  • CLIA Code: 34D2316217
  • Facility Name: FRYECARE MEDICAL WEIGHT LOSS
  • Facility Address: 1781 TATE BLVD SE, STE 204
    HICKORY, NC
    ZIP 28602
  • Facility Phone: 828 324-9865
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. AILISA SMITH
  • NPI Number: 1184045221
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 34D2316217
LAB Type Physician Office
Facility Name FRYECARE MEDICAL WEIGHT LOSS
Street 1781 TATE BLVD SE, STE 204
City HICKORY
State NC
ZIP 28602
Phone 828 324-9865
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/31/2024
Certificate Expiration Date 12/30/2026
Facility Type Physician Office
Lab Director DR. AILISA SMITH

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