34D2122439 CLIA NUMBER - RESERVE HEALTH, PC

Laboratory Demographics

CLIA Number: 34D2122439

Facility Name: RESERVE HEALTH, PC

Facility Address:
135 W 10TH STREET
CHARLOTTE, NC
ZIP 28202
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Facility Phone Number: 704 626-3994

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1659828291

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	34D2122439
LAB Type	Physician Office
Facility Name	RESERVE HEALTH, PC
Street	135 W 10TH STREET
City	CHARLOTTE
State	NC
ZIP	28202
Phone	704 626-3994
CertificateType	4
CertificateEffectiveDate	11/29/2022
CertificateExpirationDate	11/28/2024
FacilityType	Waiver

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