34D0242991 CLIA NUMBER - CAROLINA ASTHMA AND ALLERGY CENTER PA

Laboratory Demographics

CLIA Number: 34D0242991

Facility Name: CAROLINA ASTHMA AND ALLERGY CENTER PA

Facility Address:
620 SUMMIT CROSSING PLACE, SUITE 202
GASTONIA, NC
ZIP 28054
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Facility Phone Number: (704) 861-0515

Facility Type: PHYSICIAN OFFICE

Certificate Type: Microscopy

NPI Number: 1992256218

Taxonomy: 261QM0801X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	34D0242991
LAB Type	PHYSICIAN OFFICE
Facility Name	CAROLINA ASTHMA AND ALLERGY CENTER PA
Street	620 SUMMIT CROSSING PLACE, SUITE 202
City	GASTONIA
State	NC
ZIP	28054
Phone	(704) 861-0515

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This page was last updated on: 5/11/2023