34D2168107 CLIA NUMBER - EMILY PROGRAM - CHARLOTTE, THE

Laboratory Demographics

  • CLIA Code: 34D2168107
  • Facility Name: EMILY PROGRAM - CHARLOTTE, THE
  • Facility Address: 1900 SCOTT AVENUE, SUITE 101
    CHARLOTTE, NC
    ZIP 28203
  • Facility Phone: 704 680-3140
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH C. CROZIER
  • NPI Number: 1891330056
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D2168107
LAB Type Physician Office
Facility Name EMILY PROGRAM - CHARLOTTE, THE
Street 1900 SCOTT AVENUE, SUITE 101
City CHARLOTTE
State NC
ZIP 28203
Phone 704 680-3140
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/20/2025
Certificate Expiration Date 6/19/2027
Facility Type Physician Office
Lab Director JOSEPH C. CROZIER

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