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

Laboratory Demographics

  • CLIA Code: 34D1054160
  • Facility Name: JOHNSON C SMITH UNIVERSITY HEALTH SERVICES CENTER
  • Facility Address: 100 BEATTIES FORD ROAD
    CHARLOTTE, NC
    ZIP 28216
  • Facility Phone: 704 378-1075
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: MARIAN Y. JONES
  • NPI Number: 1336680388
  • Taxonomy: 207QS0010X - Family Medicine

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/15/2024
Certificate Expiration Date 5/14/2026
Facility Type School/Student Health Service
Lab Director MARIAN Y. JONES

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