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PRESTIGE LAB SERVICES LLC
NPI 1457164576
Clinic/Center in Gastonia, NC

Active since January 31, 2025CLIA 34D2315198 · Waiver
1556 UNION RD STE D, GASTONIA, NC 28054(888) 302-2235(980) 225-5270 Get Directions Write a Review

NPPES record last updated: January 31, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Prestige Lab Services Llc NPPES

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

PRESTIGE LAB SERVICES LLC (NPI 1457164576) is a healthcare organization registered as a clinic/center in Gastonia, North Carolina and active in the NPI registry since January 2025. The organization holds a CLIA Waiver certificate valid through December 8, 2026 and lists Tameika Tate, Owner, as its authorized official.

NPPES Registry Identity

NPI1457164576
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePRESTIGE LAB SERVICES LLC
Location Address1556 UNION RD STE DGastonia, NC 28054-2208
Mailing Address200 Stroupe Rd Ste CGastonia, NC 28056-8693 · (888) 302-2235 · Fax (980) 225-5270
Phone(888) 302-2235
Fax(980) 225-5270
Organization SubpartNo
Authorized OfficialTameika TateOwner · (888) 302-2235
Enumeration DateJanuary 31, 2025
NPPES CertifiedJanuary 31, 2025
✔ NPI 1457164576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1556 UNION RD STE D, Gastonia, NC 28054
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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 34D2315198

Prestige Lab Services · Gastonia, NC
Active · expires Dec 8, 2026
CLIA Number34D2315198
Laboratory TypeDiagnostic Lab
Certificate Effective DateDecember 9, 2024
Certificate Expiration DateDecember 8, 2026
Laboratory DirectorTameika Tate
Laboratory Phone(888) 302-2235
Laboratory LocationPrestige Lab Services219 W Main Ave Suite 1, Gastonia, NC 28052
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SCHOOLS FOR CHILDREN
Community/Behavioral Health
1556 UNION RD STE D
GASTONIA, NC 28054
Gaston County (828) 898-5465

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 Prestige Lab Services LLC's NPI number?

The NPI number for Prestige Lab Services LLC is 1457164576. It was assigned to this organization in the NPPES registry on January 31, 2025.

Where is Prestige Lab Services LLC located?

Prestige Lab Services LLC is located at 1556 Union Rd Ste D, Gastonia, NC 28054. The listed phone number is (888) 302-2235.

What is Prestige Lab Services LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Prestige Lab Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2315198) is associated with this NPI, valid through December 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Prestige Lab Services LLC was last updated on January 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.