34D2316248 CLIA NUMBER - MOUNTAIN CONVENIENT CARE

Laboratory Demographics

  • CLIA Code: 34D2316248
  • Facility Name: MOUNTAIN CONVENIENT CARE
  • Facility Address: 106 FROGTOWN LANE
    FRANKLIN, NC
    ZIP 28734
  • Facility Phone: 706 982-9641
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JODI BALDERRAMA
  • NPI Number: 1922828466
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D2316248
LAB Type Physician Office
Facility Name MOUNTAIN CONVENIENT CARE
Street 106 FROGTOWN LANE
City FRANKLIN
State NC
ZIP 28734
Phone 706 982-9641
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 JODI BALDERRAMA

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