34D2174588 CLIA NUMBER - ALEXANDER YOUTH NETWORK

Laboratory Demographics

  • CLIA Code: 34D2174588
  • Facility Name: ALEXANDER YOUTH NETWORK
  • Facility Address: 6220 THERMAL ROAD
    CHARLOTTE, NC
    ZIP 28211
  • Facility Phone: 704 362-8480
  • Facility Type: Other - BEHAVIORAL HEALTH
  • Facility Type: Waiver
  • Lab Director: BUDDY PLUMMER
  • NPI Number: 1083856595
  • Taxonomy: 261QM0855X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D2174588
LAB Type Other - BEHAVIORAL HEALTH
Facility Name ALEXANDER YOUTH NETWORK
Street 6220 THERMAL ROAD
City CHARLOTTE
State NC
ZIP 28211
Phone 704 362-8480
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/14/2025
Certificate Expiration Date 7/13/2027
Facility Type Other - BEHAVIORAL HEALTH
Lab Director BUDDY PLUMMER

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