34D2187798 CLIA NUMBER - PAVANA TREATMENT GROUP, PC

Laboratory Demographics

  • CLIA Code: 34D2187798
  • Facility Name: PAVANA TREATMENT GROUP, PC
  • Facility Address: 1560 UNION ROAD
    GASTONIA, NC
    ZIP 28054
  • Facility Phone: 704 490-4993
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: MR. WILLIAM CLEVELAND JR
  • NPI Number: 1043849896
  • Taxonomy: 207LA0401X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 34D2187798
LAB Type Physician Office
Facility Name PAVANA TREATMENT GROUP, PC
Street 1560 UNION ROAD
City GASTONIA
State NC
ZIP 28054
Phone 704 490-4993
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 4/30/2024
Certificate Expiration Date 4/29/2026
Facility Type Physician Office
Lab Director MR. WILLIAM CLEVELAND JR

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