34D1029607 CLIA NUMBER - SENSENBRENNER PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 34D1029607
  • Facility Name: SENSENBRENNER PRIMARY CARE
  • Facility Address: 8821 BLAKENEY PROF DR
    CHARLOTTE, NC
    ZIP 28277
  • Facility Phone: 704 887-1101
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN W. SENSENBRENNER
  • NPI Number: 1205813755
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D1029607
LAB Type Physician Office
Facility Name SENSENBRENNER PRIMARY CARE
Street 8821 BLAKENEY PROF DR
City CHARLOTTE
State NC
ZIP 28277
Phone 704 887-1101
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2024
Certificate Expiration Date 8/18/2026
Facility Type Physician Office
Lab Director JOHN W. SENSENBRENNER

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