34D1056490 CLIA NUMBER - WAVECO DBA CAROLINA CTR FOR SPECIALTY SURGERY

Laboratory Demographics

  • CLIA Code: 34D1056490
  • Facility Name: WAVECO DBA CAROLINA CTR FOR SPECIALTY SURGERY
  • Facility Address: 1822 BRUNSWICK AVE
    CHARLOTTE, NC
    ZIP 28207
  • Facility Phone: 704 831-4400
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: HUNTER DYER
  • NPI Number: 1760418917
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D1056490
LAB Type Ambulatory Surgery Center
Facility Name WAVECO DBA CAROLINA CTR FOR SPECIALTY SURGERY
Street 1822 BRUNSWICK AVE
City CHARLOTTE
State NC
ZIP 28207
Phone 704 831-4400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/18/2024
Certificate Expiration Date 7/17/2026
Facility Type Ambulatory Surgery Center
Lab Director HUNTER DYER

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