34D0983306 CLIA NUMBER - CAROLINA DIGESTIVE HEALTH ASSOCIATES, PA

Laboratory Demographics

  • CLIA Code: 34D0983306
  • Facility Name: CAROLINA DIGESTIVE HEALTH ASSOCIATES, PA
  • Facility Address: 1105 SPRUCE STREET, SUITE 101
    BELMONT, NC
    ZIP 28012
  • Facility Phone: 704 372-7974
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANTHONY D. COLVIN
  • NPI Number: 1780077099
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D0983306
LAB Type Physician Office
Facility Name CAROLINA DIGESTIVE HEALTH ASSOCIATES, PA
Street 1105 SPRUCE STREET, SUITE 101
City BELMONT
State NC
ZIP 28012
Phone 704 372-7974
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/21/2025
Certificate Expiration Date 2/20/2027
Facility Type Physician Office
Lab Director ANTHONY D. COLVIN

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This page was last updated on: 6/4/2025