34D2115652 CLIA NUMBER - SOUTHEAST NORTH CAROLINA SEVEN MEDICAL

Laboratory Demographics

  • CLIA Code: 34D2115652
  • Facility Name: SOUTHEAST NORTH CAROLINA SEVEN MEDICAL
  • Facility Address: 10430 PARK ROAD, SUITE 100A
    CHARLOTTE, NC
    ZIP 28210
  • Facility Phone: 832 615-3117
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. JOSEPH G. KEENAN
  • NPI Number: 1407090707
  • Taxonomy: 103TC0700X - Psychologist

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CLIA Record

Field Name Field Value
CLIA Number 34D2115652
LAB Type Physician Office
Facility Name SOUTHEAST NORTH CAROLINA SEVEN MEDICAL
Street 10430 PARK ROAD, SUITE 100A
City CHARLOTTE
State NC
ZIP 28210
Phone 832 615-3117
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 4/17/2025
Certificate Expiration Date 4/16/2027
Facility Type Physician Office
Lab Director DR. JOSEPH G. KEENAN

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