34D2318237 CLIA NUMBER - OCTOBER ROAD DBA PYRAMID CONCORD

Laboratory Demographics

  • CLIA Code: 34D2318237
  • Facility Name: OCTOBER ROAD DBA PYRAMID CONCORD
  • Facility Address: 1501 ZION CHURCH ROAD
    CONCORD, NC
    ZIP 28025
  • Facility Phone: 980 255-5106
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: ALLEN GILPIN
  • NPI Number: 1346074481
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D2318237
LAB Type Independent
Facility Name OCTOBER ROAD DBA PYRAMID CONCORD
Street 1501 ZION CHURCH ROAD
City CONCORD
State NC
ZIP 28025
Phone 980 255-5106
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2025
Certificate Expiration Date 2/6/2027
Facility Type Independent
Lab Director ALLEN GILPIN

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