34D0888292 CLIA NUMBER - CAROLINAS REHABILITATION - CHARLOTTE

Laboratory Demographics

  • CLIA Code: 34D0888292
  • Facility Name: CAROLINAS REHABILITATION - CHARLOTTE
  • Facility Address: 1100 BLYTHE BOULEVARD
    CHARLOTTE, NC
    ZIP 28203
  • Facility Phone: 704 355-4370
  • Facility Type: Hospital
  • Facility Type: Microscopy
  • Lab Director: VISHWA S. RAJ
  • NPI Number: 1790727550
  • Taxonomy: 283X00000X - Rehabilitation Hospital

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CLIA Record

Field Name Field Value
CLIA Number 34D0888292
LAB Type Hospital
Facility Name CAROLINAS REHABILITATION - CHARLOTTE
Street 1100 BLYTHE BOULEVARD
City CHARLOTTE
State NC
ZIP 28203
Phone 704 355-4370
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 6/29/2024
Certificate Expiration Date 6/28/2026
Facility Type Hospital
Lab Director VISHWA S. RAJ

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