34D2146865 CLIA NUMBER - INTEGRATIVE RHEUMATOLOGY, PLLC

Laboratory Demographics

  • CLIA Code: 34D2146865
  • Facility Name: INTEGRATIVE RHEUMATOLOGY, PLLC
  • Facility Address: 10826 MALLARD CREEK ROAD, SUITE 100
    CHARLOTTE, NC
    ZIP 28262
  • Facility Phone: 704 774-3044
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHARLES A. WITHERS II
  • NPI Number: 1902358294
  • Taxonomy: 207RR0500X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D2146865
LAB Type Physician Office
Facility Name INTEGRATIVE RHEUMATOLOGY, PLLC
Street 10826 MALLARD CREEK ROAD, SUITE 100
City CHARLOTTE
State NC
ZIP 28262
Phone 704 774-3044
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/20/2025
Certificate Expiration Date 2/19/2027
Facility Type Physician Office
Lab Director CHARLES A. WITHERS II

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