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34D0244004 CLIA NUMBER - NOVANT HEALTH PEDIATRICS - SOUTHPARK

Laboratory Demographics

CLIA Number: 34D0244004

Facility Name: NOVANT HEALTH PEDIATRICS - SOUTHPARK

Facility Address:
6324 FAIRVIEW ROAD, SUITE 350
CHARLOTTE, NC
ZIP 28210
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Facility Phone Number: 704 384-8600

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1467490102

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name Field Value
CLIA Number 34D0244004
LAB Type Physician Office
Facility Name NOVANT HEALTH PEDIATRICS - SOUTHPARK
Street 6324 FAIRVIEW ROAD, SUITE 350
City CHARLOTTE
State NC
ZIP 28210
Phone 704 384-8600
CertificateType 4
CertificateEffectiveDate 2/12/2024
CertificateExpirationDate 2/11/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024