34D2120760 CLIA NUMBER - CAROLINAS RESEARCH CENTER

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Laboratory Demographics

CLIA Number: 34D2120760

Facility Name: CAROLINAS RESEARCH CENTER

Facility Address:
1805B MILTON ROAD
CHARLOTTE, NC
ZIP 28215
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Facility Phone Number: 704 595-7887

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1467114272

Taxonomy: 261QR1100X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	34D2120760
LAB Type	Practitioner Other
Facility Name	CAROLINAS RESEARCH CENTER
Street	1805B MILTON ROAD
City	CHARLOTTE
State	NC
ZIP	28215
Phone	704 595-7887
CertificateType	4
CertificateEffectiveDate	10/24/2022
CertificateExpirationDate	10/23/2024
FacilityType	Waiver

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