34D2173973 CLIA NUMBER - WELLCOMEMD - CHARLOTTE

Laboratory Demographics

  • CLIA Code: 34D2173973
  • Facility Name: WELLCOMEMD - CHARLOTTE
  • Facility Address: 8035 PROVIDENCE ROAD, SUITE
    CHARLOTTE, NC
    ZIP 28277
  • Facility Phone: 704 444-0999
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NEAL H. CARL
  • NPI Number: 1013525278
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D2173973
LAB Type Physician Office
Facility Name WELLCOMEMD - CHARLOTTE
Street 8035 PROVIDENCE ROAD, SUITE
City CHARLOTTE
State NC
ZIP 28277
Phone 704 444-0999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/22/2025
Certificate Expiration Date 10/21/2027
Facility Type Physician Office
Lab Director NEAL H. CARL

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