34D2031048 CLIA NUMBER - ECHELON CARE

Laboratory Demographics

  • CLIA Code: 34D2031048
  • Facility Name: ECHELON CARE
  • Facility Address: 7209J EAST WT HARRIS BLVD, SUITE 207
    CHARLOTTE, NC
    ZIP 28227
  • Facility Phone: 704 594-9119
  • Facility Type: Other - RESIDENTIAL TREATMENT
  • Facility Type: Waiver
  • Lab Director: MARTINE K. CHAMBLISS
  • NPI Number: 1760506919
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 34D2031048
LAB Type Other - RESIDENTIAL TREATMENT
Facility Name ECHELON CARE
Street 7209J EAST WT HARRIS BLVD, SUITE 207
City CHARLOTTE
State NC
ZIP 28227
Phone 704 594-9119
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/11/2025
Certificate Expiration Date 10/10/2027
Facility Type Other - RESIDENTIAL TREATMENT
Lab Director MARTINE K. CHAMBLISS

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