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34D1046455 CLIA NUMBER - NOVANT HEALTH BALLANTYNE PEDIATRICS

Laboratory Demographics

CLIA Number: 34D1046455

Facility Name: NOVANT HEALTH BALLANTYNE PEDIATRICS

Facility Address:
14215 BALLANTYNE CORPORATE PLAZA, SUITE 130
CHARLOTTE, NC
ZIP 28277
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Facility Phone Number: 704 384-1950

Facility Type: Physician Office

Certificate Type: Certificate of Compliance
NPI Number: 1184679359

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 34D1046455
LAB Type Physician Office
Facility Name NOVANT HEALTH BALLANTYNE PEDIATRICS
Street 14215 BALLANTYNE CORPORATE PLAZA, SUITE 130
City CHARLOTTE
State NC
ZIP 28277
Phone 704 384-1950
CertificateType 2
CertificateEffectiveDate 5/20/2022
CertificateExpirationDate 5/19/2024
FacilityType Compliance

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