34D2190376 CLIA NUMBER - NOVANT HEALTH GOHEALTH URGENT CARE MOUNTAIN ISLAND

Laboratory Demographics

  • CLIA Code: 34D2190376
  • Facility Name: NOVANT HEALTH GOHEALTH URGENT CARE MOUNTAIN ISLAND
  • Facility Address: 3836 CORNING PLACE
    CHARLOTTE, NC
    ZIP 28216
  • Facility Phone: 704 317-2105
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: KEVIN J. CORRIGAN
  • NPI Number: 1760950646
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D2190376
LAB Type Other - URGENT CARE
Facility Name NOVANT HEALTH GOHEALTH URGENT CARE MOUNTAIN ISLAND
Street 3836 CORNING PLACE
City CHARLOTTE
State NC
ZIP 28216
Phone 704 317-2105
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/13/2024
Certificate Expiration Date 8/12/2026
Facility Type Other - URGENT CARE
Lab Director KEVIN J. CORRIGAN

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