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34D1063545 CLIA NUMBER - CHARLOTTE EYE EAR NOSE & THROAT ASSOCIATES, PA - BLAKENEY

Laboratory Demographics

CLIA Number: 34D1063545

Facility Name: CHARLOTTE EYE EAR NOSE & THROAT ASSOCIATES, PA - BLAKENEY

Facility Address:
5933 BLAKENEY PARK DRIVE SUITE 200
CHARLOTTE, NC
ZIP 28277
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Facility Phone Number: 704 295-3390

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1447445010

Taxonomy: 207W00000X - Ophthalmology
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

CLIA Record

Field Name Field Value
CLIA Number 34D1063545
LAB Type Physician Office
Facility Name CHARLOTTE EYE EAR NOSE & THROAT ASSOCIATES, PA - BLAKENEY
Street 5933 BLAKENEY PARK DRIVE SUITE 200
City CHARLOTTE
State NC
ZIP 28277
Phone 704 295-3390
CertificateType 4
CertificateEffectiveDate 3/16/2023
CertificateExpirationDate 3/15/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024