Healther Providers Data Logo

34D0702317 CLIA NUMBER - PEDIATRIC ENDOCRINOLOGY & DIABETES SPECIALISTS CAROLINAS PHYSICIANS NETWORK DBA

Laboratory Demographics

CLIA Number: 34D0702317

Facility Name: PEDIATRIC ENDOCRINOLOGY & DIABETES SPECIALISTS CAROLINAS PHYSICIANS NETWORK DBA

Facility Address:
4501 CAMERON VALLEY PARKWAY, SUITE 200
CHARLOTTE, NC
ZIP 28211
Get Directions

Facility Phone Number: 704 512-5363

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1679582134

Taxonomy: 2080P0205X - Pediatrics
A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.

CLIA Record

Field Name Field Value
CLIA Number 34D0702317
LAB Type Physician Office
Facility Name PEDIATRIC ENDOCRINOLOGY & DIABETES SPECIALISTS CAROLINAS PHYSICIANS NETWORK DBA
Street 4501 CAMERON VALLEY PARKWAY, SUITE 200
City CHARLOTTE
State NC
ZIP 28211
Phone 704 512-5363
CertificateType 4
CertificateEffectiveDate 3/11/2023
CertificateExpirationDate 3/10/2025
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

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