34D2104044 CLIA NUMBER - CAREFIRST MEDICAL ASSOCIATES, PLLC

Laboratory Demographics

  • CLIA Code: 34D2104044
  • Facility Name: CAREFIRST MEDICAL ASSOCIATES, PLLC
  • Facility Address: 2908 OAK LAKE BOULEVARD, SUITE 205
    CHARLOTTE, NC
    ZIP 28208
  • Facility Phone: 704 567-8233
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHNNIE D. LYLES
  • NPI Number: 1447636790
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D2104044
LAB Type Physician Office
Facility Name CAREFIRST MEDICAL ASSOCIATES, PLLC
Street 2908 OAK LAKE BOULEVARD, SUITE 205
City CHARLOTTE
State NC
ZIP 28208
Phone 704 567-8233
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2024
Certificate Expiration Date 3/13/2026
Facility Type Physician Office
Lab Director JOHNNIE D. LYLES

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