34D2184397 CLIA NUMBER - LAX GROUP, LLC

Laboratory Demographics

  • CLIA Code: 34D2184397
  • Facility Name: LAX GROUP, LLC
  • Facility Address: 8035 PROVIDENCE ROAD, SUITE 300
    CHARLOTTE, NC
    ZIP 28277
  • Facility Phone: 704 909-4700
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VIPUL PATEL
  • NPI Number: 1487047874
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2184397
LAB Type Pharmacy
Facility Name LAX GROUP, LLC
Street 8035 PROVIDENCE ROAD, SUITE 300
City CHARLOTTE
State NC
ZIP 28277
Phone 704 909-4700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/19/2024
Certificate Expiration Date 5/18/2026
Facility Type Pharmacy
Lab Director VIPUL PATEL

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