34D2176203 CLIA NUMBER - NOVANT HEALTH PEDIATRICS - MINT HILL

Laboratory Demographics

CLIA Number: 34D2176203

Facility Name: NOVANT HEALTH PEDIATRICS - MINT HILL

Facility Address:
8110 HEALTHCARE LOOP
CHARLOTTE, NC
ZIP 28215
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Facility Phone Number: 704 316-2312

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1679056733

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name Field Value
CLIA Number 34D2176203
LAB Type Physician Office
Facility Name NOVANT HEALTH PEDIATRICS - MINT HILL
Street 8110 HEALTHCARE LOOP
City CHARLOTTE
State NC
ZIP 28215
Phone 704 316-2312
CertificateType 4
CertificateEffectiveDate 12/10/2023
CertificateExpirationDate 12/9/2025
FacilityType Waiver

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