34D0967255 CLIA NUMBER - NOVANT HEALTH PEDIATRICS LAKE NORMAN - HARBORSIDE

Laboratory Demographics

CLIA Number: 34D0967255

Facility Name: NOVANT HEALTH PEDIATRICS LAKE NORMAN - HARBORSIDE

Facility Address:
133 WELTON WAY, SUITE C
MOORESVILLE, NC
ZIP 28117
Get Directions

Facility Phone Number: 704 664-2552

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1871747345

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name	Field Value
CLIA Number	34D0967255
LAB Type	Physician Office
Facility Name	NOVANT HEALTH PEDIATRICS LAKE NORMAN - HARBORSIDE
Street	133 WELTON WAY, SUITE C
City	MOORESVILLE
State	NC
ZIP	28117
Phone	704 664-2552
CertificateType	4
CertificateEffectiveDate	11/8/2023
CertificateExpirationDate	11/7/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

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

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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