34D2171294 CLIA NUMBER - ONE MEDICAL - MORA

Laboratory Demographics

  • CLIA Code: 34D2171294
  • Facility Name: ONE MEDICAL - MORA
  • Facility Address: 4014 CONNECTION POINT BOULEVARD SUITE C
    CHARLOTTE, NC
    ZIP 28212
  • Facility Phone: 704 343-8282
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANIELLE E. NEWMAN
  • NPI Number: 1144886839
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D2171294
LAB Type Physician Office
Facility Name ONE MEDICAL - MORA
Street 4014 CONNECTION POINT BOULEVARD SUITE C
City CHARLOTTE
State NC
ZIP 28212
Phone 704 343-8282
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/28/2025
Certificate Expiration Date 8/27/2027
Facility Type Physician Office
Lab Director DANIELLE E. NEWMAN

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