34D2104873 CLIA NUMBER - NOVANT HEALTH ATMC WELLNESS CENTER

Laboratory Demographics

CLIA Number: 34D2104873

Facility Name: NOVANT HEALTH ATMC WELLNESS CENTER

Facility Address:
640 WHITEVILLE ROAD
SHALLOTTE, NC
ZIP 28470
Get Directions

Facility Phone Number: 910 754-4311

Facility Type: Industrial

Certificate Type: Waiver

NPI Number: 1710051123

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	34D2104873
LAB Type	Industrial
Facility Name	NOVANT HEALTH ATMC WELLNESS CENTER
Street	640 WHITEVILLE ROAD
City	SHALLOTTE
State	NC
ZIP	28470
Phone	910 754-4311
CertificateType	4
CertificateEffectiveDate	11/13/2023
CertificateExpirationDate	11/12/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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