34D0972626 CLIA NUMBER - ATRIUM HEALTH EAST CHARLOTTE FAMILY PHYSICIANS

Laboratory Demographics

CLIA Number: 34D0972626

Facility Name: ATRIUM HEALTH EAST CHARLOTTE FAMILY PHYSICIANS

Facility Address:
5801 EXECUTIVE CENTER DR SUITE 100
CHARLOTTE, NC
ZIP 28212
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Facility Phone Number: 704 567-1977

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1588673636

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	34D0972626
LAB Type	Physician Office
Facility Name	ATRIUM HEALTH EAST CHARLOTTE FAMILY PHYSICIANS
Street	5801 EXECUTIVE CENTER DR SUITE 100
City	CHARLOTTE
State	NC
ZIP	28212
Phone	704 567-1977
CertificateType	4
CertificateEffectiveDate	8/10/2022
CertificateExpirationDate	8/9/2024
FacilityType	Waiver

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