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34D1054160 CLIA NUMBER - JOHNSON C SMITH UNIVERSITY HEALTH SERVICES CENTER

Laboratory Demographics

CLIA Number: 34D1054160

Facility Name: JOHNSON C SMITH UNIVERSITY HEALTH SERVICES CENTER

Facility Address:
100 BEATTIES FORD ROAD
CHARLOTTE, NC
ZIP 28216
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Facility Phone Number: 704 378-1075

Facility Type: School/Student Health Service

Certificate Type: Waiver
NPI Number: 1336680388

Taxonomy: 207QS0010X - Family Medicine
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

CLIA Record

Field Name Field Value
CLIA Number 34D1054160
LAB Type School/Student Health Service
Facility Name JOHNSON C SMITH UNIVERSITY HEALTH SERVICES CENTER
Street 100 BEATTIES FORD ROAD
City CHARLOTTE
State NC
ZIP 28216
Phone 704 378-1075
CertificateType 4
CertificateEffectiveDate 5/15/2024
CertificateExpirationDate 5/14/2026
FacilityType Waiver

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