34D2018361 CLIA NUMBER - ATRIUM HEALTH ENDOCRINOLOGY PINEVILLE

Laboratory Demographics

  • CLIA Code: 34D2018361
  • Facility Name: ATRIUM HEALTH ENDOCRINOLOGY PINEVILLE
  • Facility Address: 10650 PARK ROAD, SUITE 330A
    CHARLOTTE, NC
    ZIP 28210
  • Facility Phone: 704 667-3960
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAVIN J. MEHTA PA
  • NPI Number: 1003242876
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D2018361
LAB Type Physician Office
Facility Name ATRIUM HEALTH ENDOCRINOLOGY PINEVILLE
Street 10650 PARK ROAD, SUITE 330A
City CHARLOTTE
State NC
ZIP 28210
Phone 704 667-3960
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Physician Office
Lab Director RAVIN J. MEHTA PA

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