EAGLES EYE DIAGNOSTIC LAB
NPI 1104650563
Clinical Medical Laboratory in Salisbury, NC

Active since August 28, 2024CLIA 34D2306424 · Waiver
129 E COUNCIL ST, SALISBURY, NC 28144(980) 701-0705(980) 701-0706 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eagles Eye Diagnostic Lab NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAGLES EYE DIAGNOSTIC LAB (NPI 1104650563) is a healthcare organization registered as a clinical medical laboratory in Salisbury, North Carolina and active in the NPI registry since August 2024. The organization holds a CLIA Waiver certificate valid through June 17, 2028 and lists Tonyan W Hunter, Owner, as its authorized official.

NPPES Registry Identity

NPI1104650563
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameEAGLES EYE DIAGNOSTIC LAB
Location Address129 E COUNCIL STSalisbury, NC 28144-5019
Mailing Address129 E Council StSalisbury, NC 28144-5019 · (980) 701-0705 · Fax (980) 701-0706
Fax(980) 701-0706
Organization SubpartNo
Authorized OfficialTonyan W HunterOwner · (980) 701-0705
Enumeration DateAugust 28, 2024
NPPES CertifiedAugust 28, 2024
NPI 1104650563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
129 E COUNCIL ST, Salisbury, NC 28144

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2306424

Eagles Eye Diagnostic Lab · Salisbury, NC
Active · expires Jun 17, 2028
CLIA Number34D2306424
Laboratory TypeIndependent
Certificate Effective DateJune 18, 2026
Certificate Expiration DateJune 17, 2028
Laboratory DirectorTonyan W. Hunter
Laboratory Phone(980) 701-0705
Laboratory LocationEagles Eye Diagnostic Lab458 Jake Alexander Blvd W, Salisbury, NC 28147
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eagles Eye Diagnostic Lab's NPI number?

The NPI number for Eagles Eye Diagnostic Lab is 1104650563. It was assigned to this organization in the NPPES registry on August 28, 2024.

Where is Eagles Eye Diagnostic Lab located?

Eagles Eye Diagnostic Lab is located at 129 E Council St, Salisbury, NC 28144. The listed phone number is (980) 701-0705.

What is Eagles Eye Diagnostic Lab's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Eagles Eye Diagnostic Lab hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2306424) is associated with this NPI, valid through June 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Eagles Eye Diagnostic Lab was last updated on August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.