34D2162113 CLIA NUMBER - FACILITY BASED CRISIS OF CABARRUS

Laboratory Demographics

  • CLIA Code: 34D2162113
  • Facility Name: FACILITY BASED CRISIS OF CABARRUS
  • Facility Address: 280 EXECUTIVE PARK DRIVE, SUITE 160
    CONCORD, NC
    ZIP 28025
  • Facility Phone: 704 933-3212
  • Facility Type: Other - FACILITY BASED CRISIS
  • Facility Type: Waiver
  • Lab Director: SHARON L. WILCOX
  • NPI Number: 1255865838
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 34D2162113
LAB Type Other - FACILITY BASED CRISIS
Facility Name FACILITY BASED CRISIS OF CABARRUS
Street 280 EXECUTIVE PARK DRIVE, SUITE 160
City CONCORD
State NC
ZIP 28025
Phone 704 933-3212
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/18/2025
Certificate Expiration Date 2/17/2027
Facility Type Other - FACILITY BASED CRISIS
Lab Director SHARON L. WILCOX

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