34D1055944 CLIA NUMBER - CHARLOTTE EYE EAR NOSE & THROAT ASSOCOCIATES

Laboratory Demographics

  • CLIA Code: 34D1055944
  • Facility Name: CHARLOTTE EYE EAR NOSE & THROAT ASSOCOCIATES
  • Facility Address: 645 AMALIA STREET NE
    CONCORD, NC
    ZIP 28025
  • Facility Phone: 704 295-3390
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUSAN YANIK
  • NPI Number: 1609390046
  • Taxonomy: 261QM0801X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 34D1055944
LAB Type Physician Office
Facility Name CHARLOTTE EYE EAR NOSE & THROAT ASSOCOCIATES
Street 645 AMALIA STREET NE
City CONCORD
State NC
ZIP 28025
Phone 704 295-3390
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/30/2024
Certificate Expiration Date 6/29/2026
Facility Type Physician Office
Lab Director SUSAN YANIK

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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