34D1014535 CLIA NUMBER - NOVANT HEALTH IMAGING SOUTHPARK

Laboratory Demographics

  • CLIA Code: 34D1014535
  • Facility Name: NOVANT HEALTH IMAGING SOUTHPARK
  • Facility Address: 6324 FAIRVIEW ROAD SUITE 120
    CHARLOTTE, NC
    ZIP 28210
  • Facility Phone: (704) 362-8444
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: BILL GREEAR
  • NPI Number: 1093773384
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 34D1014535
LAB Type Other
Facility Name NOVANT HEALTH IMAGING SOUTHPARK
Street 6324 FAIRVIEW ROAD SUITE 120
City CHARLOTTE
State NC
ZIP 28210
Phone 7043628444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2024
Certificate Expiration Date 6/21/2026
Facility Type Other
Lab Director BILL GREEAR

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This page was last updated on: 5/15/2026