34D1079318 CLIA NUMBER - CAROLINAS IMAGING SERVICES, LLC - SOUTHPARK

Laboratory Demographics

  • CLIA Code: 34D1079318
  • Facility Name: CAROLINAS IMAGING SERVICES, LLC - SOUTHPARK
  • Facility Address: 4525 CAMERON VALLEY PKWY STE 1000 -B
    CHARLOTTE, NC
    ZIP 28211
  • Facility Phone: 704 333-3794
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: ROBERT NEILON
  • NPI Number: 1780113324
  • Taxonomy: 293D00000X - Physiological Laboratory

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 34D1079318
LAB Type Other
Facility Name CAROLINAS IMAGING SERVICES, LLC - SOUTHPARK
Street 4525 CAMERON VALLEY PKWY STE 1000 -B
City CHARLOTTE
State NC
ZIP 28211
Phone 704 333-3794
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2024
Certificate Expiration Date 10/18/2026
Facility Type Other
Lab Director ROBERT NEILON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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