34D2121983 CLIA NUMBER - ONE LOVE PERIODIC SERVICES, INC

Laboratory Demographics

  • CLIA Code: 34D2121983
  • Facility Name: ONE LOVE PERIODIC SERVICES, INC
  • Facility Address: 4922 ALBEMARLE ROAD
    CHARLOTTE, NC
    ZIP 28205
  • Facility Phone: 302 518-3022
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. BRENDA WALLER
  • NPI Number: 1700403110
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 34D2121983
LAB Type Independent
Facility Name ONE LOVE PERIODIC SERVICES, INC
Street 4922 ALBEMARLE ROAD
City CHARLOTTE
State NC
ZIP 28205
Phone 302 518-3022
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 10/13/2023
Certificate Expiration Date 10/12/2025
Facility Type Independent
Lab Director DR. BRENDA WALLER

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