34D1052181 CLIA NUMBER - ATRIUM HEALTH ENDOSCOPY CENTER BALLANTYNE

Laboratory Demographics

  • CLIA Code: 34D1052181
  • Facility Name: ATRIUM HEALTH ENDOSCOPY CENTER BALLANTYNE
  • Facility Address: 15110 JOHN J DELANEY DRIVE, SUITE 120
    CHARLOTTE, NC
    ZIP 28277
  • Facility Phone: 704 442-4660
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: NICHOLAS ANTHONY
  • NPI Number: 1871674481
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D1052181
LAB Type Ambulatory Surgery Center
Facility Name ATRIUM HEALTH ENDOSCOPY CENTER BALLANTYNE
Street 15110 JOHN J DELANEY DRIVE, SUITE 120
City CHARLOTTE
State NC
ZIP 28277
Phone 704 442-4660
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/20/2024
Certificate Expiration Date 3/19/2026
Facility Type Ambulatory Surgery Center
Lab Director NICHOLAS ANTHONY

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