34D1013442 CLIA NUMBER - LAKESHORE WOMEN'S SPECIALISTS

Laboratory Demographics

  • CLIA Code: 34D1013442
  • Facility Name: LAKESHORE WOMEN'S SPECIALISTS
  • Facility Address: 235 MEDICAL PARK ROAD SUITE 201
    MOORESVILLE, NC
    ZIP 28117
  • Facility Phone: 704 658-9211
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: TODD ADAMS
  • NPI Number: 1609313410
  • Taxonomy: 207VG0400X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 34D1013442
LAB Type Physician Office
Facility Name LAKESHORE WOMEN'S SPECIALISTS
Street 235 MEDICAL PARK ROAD SUITE 201
City MOORESVILLE
State NC
ZIP 28117
Phone 704 658-9211
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/10/2025
Certificate Expiration Date 6/9/2027
Facility Type Physician Office
Lab Director TODD ADAMS

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