34D0897829 CLIA NUMBER - CAROLINA OPHTHALMOLOGY PA

Laboratory Demographics

CLIA Number: 34D0897829

Facility Name: CAROLINA OPHTHALMOLOGY PA

Facility Address:
1701 OLD VILLAGE ROAD
HENDERSONVILLE, NC
ZIP 28791
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Facility Phone Number: 704 693-1773

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1932267028

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	34D0897829
LAB Type	Physician Office
Facility Name	CAROLINA OPHTHALMOLOGY PA
Street	1701 OLD VILLAGE ROAD
City	HENDERSONVILLE
State	NC
ZIP	28791
Phone	704 693-1773
CertificateType	4
CertificateEffectiveDate	2/16/2023
CertificateExpirationDate	2/15/2025
FacilityType	Waiver

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