34D2176918 CLIA NUMBER - HOPEWAY PSYCHIATRY & ASSOCIATES

Laboratory Demographics

CLIA Number: 34D2176918

Facility Name: HOPEWAY PSYCHIATRY & ASSOCIATES

Facility Address:
5925 CARNEGIE BOULEVARD SUITE 525
CHARLOTTE, NC
ZIP 28209
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Facility Phone Number: 980 859-2106

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1831662196

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	34D2176918
LAB Type	Physician Office
Facility Name	HOPEWAY PSYCHIATRY & ASSOCIATES
Street	5925 CARNEGIE BOULEVARD SUITE 525
City	CHARLOTTE
State	NC
ZIP	28209
Phone	980 859-2106
CertificateType	4
CertificateEffectiveDate	12/30/2023
CertificateExpirationDate	12/29/2025
FacilityType	Waiver

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