34D1107483 CLIA NUMBER - CHARLOTTE EYE EAR NOSE & THROAT ASSOCS PA

Laboratory Demographics

  • CLIA Code: 34D1107483
  • Facility Name: CHARLOTTE EYE EAR NOSE & THROAT ASSOCS PA
  • Facility Address: 13532 STEELCROFT PARKWAY
    CHARLOTTE, NC
    ZIP 28278
  • Facility Phone: 704 295-3390
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEVEN B. HEAVNER
  • NPI Number: 1780911339
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 34D1107483
LAB Type Physician Office
Facility Name CHARLOTTE EYE EAR NOSE & THROAT ASSOCS PA
Street 13532 STEELCROFT PARKWAY
City CHARLOTTE
State NC
ZIP 28278
Phone 704 295-3390
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/6/2023
Certificate Expiration Date 11/5/2025
Facility Type Physician Office
Lab Director STEVEN B. HEAVNER

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