34D2029581 CLIA NUMBER - EAGLE MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 34D2029581
  • Facility Name: EAGLE MEDICAL CENTER
  • Facility Address: 6005 HICKORY GROVE ROAD
    CHARLOTTE, NC
    ZIP 28215
  • Facility Phone: 704 945-6480
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: GBENGA ALUKO
  • NPI Number: 1487942314
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D2029581
LAB Type Physician Office
Facility Name EAGLE MEDICAL CENTER
Street 6005 HICKORY GROVE ROAD
City CHARLOTTE
State NC
ZIP 28215
Phone 704 945-6480
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 12/7/2024
Certificate Expiration Date 12/6/2026
Facility Type Physician Office
Lab Director GBENGA ALUKO

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