34D0874133 CLIA NUMBER - NOVANT HEALTH FAMILY MEDICINE GASTONIA

Laboratory Demographics

  • CLIA Code: 34D0874133
  • Facility Name: NOVANT HEALTH FAMILY MEDICINE GASTONIA
  • Facility Address: 885 SUMMIT CROSSING PL
    GASTONIA, NC
    ZIP 28054
  • Facility Phone: 704 316-4979
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KENNETH P. EDEL
  • NPI Number: 1770636268
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 34D0874133
LAB Type Physician Office
Facility Name NOVANT HEALTH FAMILY MEDICINE GASTONIA
Street 885 SUMMIT CROSSING PL
City GASTONIA
State NC
ZIP 28054
Phone 704 316-4979
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/13/2024
Certificate Expiration Date 4/12/2026
Facility Type Physician Office
Lab Director KENNETH P. EDEL

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