34D0912265 CLIA NUMBER - CARMEL PEDIATRICS, PA

Laboratory Demographics

  • CLIA Code: 34D0912265
  • Facility Name: CARMEL PEDIATRICS, PA
  • Facility Address: 7825 BALLANTYNE COMMONS PARKWAY, SUITE 100
    CHARLOTTE, NC
    ZIP 28277
  • Facility Phone: 704 752-2000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ADA B. DICKINSON
  • NPI Number: 1932438686
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 34D0912265
LAB Type Physician Office
Facility Name CARMEL PEDIATRICS, PA
Street 7825 BALLANTYNE COMMONS PARKWAY, SUITE 100
City CHARLOTTE
State NC
ZIP 28277
Phone 704 752-2000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/7/2023
Certificate Expiration Date 12/6/2025
Facility Type Physician Office
Lab Director ADA B. DICKINSON

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