34D2106939 CLIA NUMBER - PROJECT 658

Laboratory Demographics

  • CLIA Code: 34D2106939
  • Facility Name: PROJECT 658
  • Facility Address: 6900 FARMINGDATE DRIVE
    CHARLOTTE, NC
    ZIP 28212
  • Facility Phone: 704 733-9934
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: MARJORIE A. LUGIBIHL
  • NPI Number: 1427502558
  • Taxonomy: 163W00000X - Registered Nurse

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CLIA Record

Field Name Field Value
CLIA Number 34D2106939
LAB Type Community Clinic
Facility Name PROJECT 658
Street 6900 FARMINGDATE DRIVE
City CHARLOTTE
State NC
ZIP 28212
Phone 704 733-9934
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/4/2024
Certificate Expiration Date 1/3/2026
Facility Type Community Clinic
Lab Director MARJORIE A. LUGIBIHL

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