34D1054673 CLIA NUMBER - INS VICTORY HOME #7327

Laboratory Demographics

  • CLIA Code: 34D1054673
  • Facility Name: INS VICTORY HOME #7327
  • Facility Address: 3033 EASTWAY DRIVE, SUITE 202
    CHARLOTTE, NC
    ZIP 28205
  • Facility Phone: 704 535-7203
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: KATHLEEN A. DOMAN
  • NPI Number: 1316905730
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D1054673
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name INS VICTORY HOME #7327
Street 3033 EASTWAY DRIVE, SUITE 202
City CHARLOTTE
State NC
ZIP 28205
Phone 704 535-7203
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/30/2024
Certificate Expiration Date 5/29/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director KATHLEEN A. DOMAN

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