34D0244321 CLIA NUMBER - PARK ROAD MEDICAL

Laboratory Demographics

  • CLIA Code: 34D0244321
  • Facility Name: PARK ROAD MEDICAL
  • Facility Address: 3541 RANDOLPH RD SUITE 101
    CHARLOTTE, NC
    ZIP 28211
  • Facility Phone: 704 523-2565
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GEORGE L. RAAD
  • NPI Number: 1508811530
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D0244321
LAB Type Physician Office
Facility Name PARK ROAD MEDICAL
Street 3541 RANDOLPH RD SUITE 101
City CHARLOTTE
State NC
ZIP 28211
Phone 704 523-2565
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director GEORGE L. RAAD

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This page was last updated on: 9/29/2025