MATTHEWS FREE MEDICAL CLINIC
NPI 1578851960
Clinic/Center in Matthews, NC

Active since July 19, 2011CLIA 34D1021755 · Waiver
113 N AMES ST, MATTHEWS, NC 28105(704) 841-8882 Get Directions Write a Review

NPPES record last updated: July 19, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Matthews Free Medical Clinic NPPES

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

MATTHEWS FREE MEDICAL CLINIC (NPI 1578851960) is a healthcare organization registered as a clinic/center in Matthews, North Carolina and active in the NPI registry since July 2011. The organization holds a CLIA Waiver certificate valid through August 19, 2026 and lists Jacqueline L Olin, Clinical Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1578851960
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameMATTHEWS FREE MEDICAL CLINIC
Location Address113 N AMES STMatthews, NC 28105-5639
Mailing Address113 N Ames StMatthews, NC 28105-5639 · (704) 841-8882
Organization SubpartNo
Authorized OfficialJacqueline L OlinClinical Pharmacist · (704) 841-8882
Enumeration DateJuly 19, 2011
NPI 1578851960 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).

113 N AMES ST, Matthews, NC 28105

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 34D1021755

Matthews Free Medical Clinic · Matthews, NC
Active · expires Aug 19, 2026
CLIA Number34D1021755
Laboratory TypeFree Clinic
Certificate Effective DateAugust 20, 2024
Certificate Expiration DateAugust 19, 2026
Laboratory DirectorLou A. Mc Adams
Laboratory Phone(704) 841-8882
Laboratory LocationMatthews Free Medical Clinic196 S Trade Street, Matthews, NC 28105
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.

Family Medicine
113 N AMES ST
MATTHEWS, NC 28105

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 Matthews Free Medical Clinic's NPI number?

The NPI number for Matthews Free Medical Clinic is 1578851960. It was assigned to this organization in the NPPES registry on July 19, 2011.

Where is Matthews Free Medical Clinic located?

Matthews Free Medical Clinic is located at 113 N Ames St, Matthews, NC 28105. The listed phone number is (704) 841-8882.

What is Matthews Free Medical Clinic's specialty?

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

Does Matthews Free Medical Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D1021755) is associated with this NPI, valid through August 19, 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 Matthews Free Medical Clinic was last updated on July 19, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.