34D2073184 CLIA NUMBER - ATRIUM HEALTH SOUTHPARK

Laboratory Demographics

  • CLIA Code: 34D2073184
  • Facility Name: ATRIUM HEALTH SOUTHPARK
  • Facility Address: 6965 FAIRVIEW ROAD
    CHARLOTTE, NC
    ZIP 28211
  • Facility Phone: 704 400-7411
  • Facility Type: Other - STANDALONE EMER DEPT
  • Facility Type: Waiver
  • Lab Director: ANDREW J. RAND
  • NPI Number: 1740590074
  • Taxonomy: 207RH0003X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D2073184
LAB Type Other - STANDALONE EMER DEPT
Facility Name ATRIUM HEALTH SOUTHPARK
Street 6965 FAIRVIEW ROAD
City CHARLOTTE
State NC
ZIP 28211
Phone 704 400-7411
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/12/2024
Certificate Expiration Date 2/11/2026
Facility Type Other - STANDALONE EMER DEPT
Lab Director ANDREW J. RAND

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