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34D2166916 CLIA NUMBER - SOUTHEAST PATHOLOGY CONSULTANTS

Laboratory Demographics

CLIA Number: 34D2166916

Facility Name: SOUTHEAST PATHOLOGY CONSULTANTS

Facility Address:
1815 BACK CREEK DRIVE
CHARLOTTE, NC
ZIP 28213
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Facility Phone Number: 704 749-6634

Facility Type: Independent

Certificate Type: Certificate of Compliance
NPI Number: 1831615160

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 34D2166916
LAB Type Independent
Facility Name SOUTHEAST PATHOLOGY CONSULTANTS
Street 1815 BACK CREEK DRIVE
City CHARLOTTE
State NC
ZIP 28213
Phone 704 749-6634
CertificateType 2
CertificateEffectiveDate 10/6/2022
CertificateExpirationDate 10/5/2024
FacilityType Compliance

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