34D2136734 CLIA NUMBER - NOVANT HEALTH PEDIATRICS HIGHLAND CREEK

Laboratory Demographics

CLIA Number: 34D2136734

Facility Name: NOVANT HEALTH PEDIATRICS HIGHLAND CREEK

Facility Address:
5370 RIDGE ROAD
CHARLOTTE, NC
ZIP 28269
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Facility Phone Number: 704 316-1491

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1053838789

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name Field Value
CLIA Number 34D2136734
LAB Type Physician Office
Facility Name NOVANT HEALTH PEDIATRICS HIGHLAND CREEK
Street 5370 RIDGE ROAD
City CHARLOTTE
State NC
ZIP 28269
Phone 704 316-1491
CertificateType 4
CertificateEffectiveDate 5/4/2024
CertificateExpirationDate 5/3/2026
FacilityType Waiver

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