34D1006464 CLIA NUMBER - NOVANT HEALTH PEDIATRICS ARDREY KELL

Laboratory Demographics

CLIA Number: 34D1006464

Facility Name: NOVANT HEALTH PEDIATRICS ARDREY KELL

Facility Address:
8169 ARDREY KELL ROAD BUILDING D
CHARLOTTE, NC
ZIP 28277
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Facility Phone Number: 704 542-5227

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1790279867

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	34D1006464
LAB Type	Physician Office
Facility Name	NOVANT HEALTH PEDIATRICS ARDREY KELL
Street	8169 ARDREY KELL ROAD BUILDING D
City	CHARLOTTE
State	NC
ZIP	28277
Phone	704 542-5227
CertificateType	4
CertificateEffectiveDate	11/22/2022
CertificateExpirationDate	11/21/2024
FacilityType	Waiver

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