34D1061274 CLIA NUMBER - GRAPER COSMETIC SURGERY

Laboratory Demographics

  • CLIA Code: 34D1061274
  • Facility Name: GRAPER COSMETIC SURGERY
  • Facility Address: 2915 COLTSGATE ROAD STE 103
    CHARLOTTE, NC
    ZIP 28211
  • Facility Phone: 704 375-7111
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT G. GRAPER MD
  • NPI Number: 1821398611
  • Taxonomy: 208200000X - Plastic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 34D1061274
LAB Type Physician Office
Facility Name GRAPER COSMETIC SURGERY
Street 2915 COLTSGATE ROAD STE 103
City CHARLOTTE
State NC
ZIP 28211
Phone 704 375-7111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2024
Certificate Expiration Date 11/13/2026
Facility Type Physician Office
Lab Director ROBERT G. GRAPER MD

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