34D2188909 CLIA NUMBER - LEGACY HEART CARE OF CHARLOTTE

Laboratory Demographics

CLIA Number: 34D2188909

Facility Name: LEGACY HEART CARE OF CHARLOTTE

Facility Address:
300 BILLINGSLEY ROAD, SUITE 101
CHARLOTTE, NC
ZIP 28211
Get Directions

Facility Phone Number: 704 334-1401

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1467810663

Taxonomy: 207RC0000X - Internal Medicine
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

CLIA Record

Field Name	Field Value
CLIA Number	34D2188909
LAB Type	Physician Office
Facility Name	LEGACY HEART CARE OF CHARLOTTE
Street	300 BILLINGSLEY ROAD, SUITE 101
City	CHARLOTTE
State	NC
ZIP	28211
Phone	704 334-1401
CertificateType	4
CertificateEffectiveDate	7/23/2022
CertificateExpirationDate	7/22/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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