34D1057422 CLIA NUMBER - CAROLINA DIGESTIVE ENDOSCOPY CENTER

Laboratory Demographics

  • CLIA Code: 34D1057422
  • Facility Name: CAROLINA DIGESTIVE ENDOSCOPY CENTER
  • Facility Address: 300 BILLINGSLEY ROAD SUITE 200B
    CHARLOTTE, NC
    ZIP 28211
  • Facility Phone: (704) 372-7974
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JESSICA T. SAUTER
  • NPI Number: 1063584415
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D1057422
LAB Type Physician Office
Facility Name CAROLINA DIGESTIVE ENDOSCOPY CENTER
Street 300 BILLINGSLEY ROAD SUITE 200B
City CHARLOTTE
State NC
ZIP 28211
Phone 7043727974
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2024
Certificate Expiration Date 8/10/2026
Facility Type Physician Office
Lab Director JESSICA T. SAUTER

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This page was last updated on: 6/29/2026