34D1058331 CLIA NUMBER - ATRIUM HEALTH WOMEN'S CARE EASTOVER UNIVERSITY OB/GYN - PROSPERITY CROSSING

Laboratory Demographics

  • CLIA Code: 34D1058331
  • Facility Name: ATRIUM HEALTH WOMEN'S CARE EASTOVER UNIVERSITY OB/GYN - PROSPERITY CROSSING
  • Facility Address: 5727 PROSPERITY CROSSING DRIVE, SUITE 2100
    CHARLOTTE, NC
    ZIP 28269
  • Facility Phone: 704 863-9800
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JEANNE A. ROLLINS
  • NPI Number: 1053668012
  • Taxonomy: 207QS0010X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D1058331
LAB Type Physician Office
Facility Name ATRIUM HEALTH WOMEN'S CARE EASTOVER UNIVERSITY OB/GYN - PROSPERITY CROSSING
Street 5727 PROSPERITY CROSSING DRIVE, SUITE 2100
City CHARLOTTE
State NC
ZIP 28269
Phone 704 863-9800
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/5/2024
Certificate Expiration Date 9/4/2026
Facility Type Physician Office
Lab Director JEANNE A. ROLLINS

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