34D2130271 CLIA NUMBER - KATHRYN E LONG, MD, PLLC

Laboratory Demographics

  • CLIA Code: 34D2130271
  • Facility Name: KATHRYN E LONG, MD, PLLC
  • Facility Address: 8731 RED OAK BLVD, SUITE 100
    CHARLOTTE, NC
    ZIP 28217
  • Facility Phone: 704 910-2250
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KATHRYN E. LONG
  • NPI Number: 1083623672
  • Taxonomy: 207QA0505X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D2130271
LAB Type Physician Office
Facility Name KATHRYN E LONG, MD, PLLC
Street 8731 RED OAK BLVD, SUITE 100
City CHARLOTTE
State NC
ZIP 28217
Phone 704 910-2250
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/5/2025
Certificate Expiration Date 5/4/2027
Facility Type Physician Office
Lab Director KATHRYN E. LONG

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