34D2066229 CLIA NUMBER - CAROLINA EXPRESS CLINIC, PLLC

Laboratory Demographics

  • CLIA Code: 34D2066229
  • Facility Name: CAROLINA EXPRESS CLINIC, PLLC
  • Facility Address: 5110 PARK ROAD SUITE 1 J
    CHARLOTTE, NC
    ZIP 28209
  • Facility Phone: 704 496-9100
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: GREGORY S. CHAMBERS
  • NPI Number: 1427483601
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D2066229
LAB Type Physician Office
Facility Name CAROLINA EXPRESS CLINIC, PLLC
Street 5110 PARK ROAD SUITE 1 J
City CHARLOTTE
State NC
ZIP 28209
Phone 704 496-9100
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 11/1/2024
Certificate Expiration Date 10/31/2026
Facility Type Physician Office
Lab Director GREGORY S. CHAMBERS

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