34D2074729 CLIA NUMBER - NOVANT HEALTH PEDIATRICS SOUTH END

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Laboratory Demographics

CLIA Number: 34D2074729

Facility Name: NOVANT HEALTH PEDIATRICS SOUTH END

Facility Address:
2400 SOUTH BOULEVARD, SUITE 200
CHARLOTTE, NC
ZIP 28203
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Facility Phone Number: 704 774-3024

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1770964660

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name	Field Value
CLIA Number	34D2074729
LAB Type	Physician Office
Facility Name	NOVANT HEALTH PEDIATRICS SOUTH END
Street	2400 SOUTH BOULEVARD, SUITE 200
City	CHARLOTTE
State	NC
ZIP	28203
Phone	704 774-3024
CertificateType	4
CertificateEffectiveDate	3/14/2024
CertificateExpirationDate	3/13/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024