34D2321154 CLIA NUMBER - NC IMMUNOLOGY, PC

Laboratory Demographics

  • CLIA Code: 34D2321154
  • Facility Name: NC IMMUNOLOGY, PC
  • Facility Address: 1525 DAVIE AVENUE
    STATESVILLE, NC
    ZIP 28677
  • Facility Phone: 704 873-5055
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FRANL LICHTENBERGER
  • NPI Number: 1619785920
  • Taxonomy: 207K00000X - Allergy & Immunology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 34D2321154
LAB Type Physician Office
Facility Name NC IMMUNOLOGY, PC
Street 1525 DAVIE AVENUE
City STATESVILLE
State NC
ZIP 28677
Phone 704 873-5055
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2025
Certificate Expiration Date 3/30/2027
Facility Type Physician Office
Lab Director FRANL LICHTENBERGER

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: 9/29/2025