34D0972626 CLIA NUMBER - ATRIUM HEALTH EAST CHARLOTTE FAMILY PHYSICIANS

Laboratory Demographics

  • CLIA Code: 34D0972626
  • Facility Name: ATRIUM HEALTH EAST CHARLOTTE FAMILY PHYSICIANS
  • Facility Address: 5801 EXECUTIVE CENTER DR SUITE 100
    CHARLOTTE, NC
    ZIP 28212
  • Facility Phone: 704 863-1550
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CORDULA F. DAVIS
  • NPI Number: 1588673636
  • Taxonomy: 207Q00000X - Family Medicine

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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 704 863-1550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2024
Certificate Expiration Date 8/9/2026
Facility Type Physician Office
Lab Director CORDULA F. DAVIS

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