34D1101243 CLIA NUMBER - NOVANT HEALTH HUNTERSVILLE PEDIATRICS & INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 34D1101243
  • Facility Name: NOVANT HEALTH HUNTERSVILLE PEDIATRICS & INTERNAL MEDICINE
  • Facility Address: 16525 HOLLY CREST LANE SUITE 150
    HUNTERSVILLE, NC
    ZIP 28078
  • Facility Phone: 704 384-8720
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WILLIAM FLANNERY
  • NPI Number: 1275586380
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D1101243
LAB Type Physician Office
Facility Name NOVANT HEALTH HUNTERSVILLE PEDIATRICS & INTERNAL MEDICINE
Street 16525 HOLLY CREST LANE SUITE 150
City HUNTERSVILLE
State NC
ZIP 28078
Phone 704 384-8720
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/2/2024
Certificate Expiration Date 1/1/2026
Facility Type Physician Office
Lab Director WILLIAM FLANNERY

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This page was last updated on: 6/4/2025