Healther Providers Data Logo

34D2192072 CLIA NUMBER - NOVANT HEALTH MICHAEL JORDAN FAMILY MEDICAL CLINIC NORTHEND

Laboratory Demographics

CLIA Number: 34D2192072

Facility Name: NOVANT HEALTH MICHAEL JORDAN FAMILY MEDICAL CLINIC NORTHEND

Facility Address:
2701 STATESVILLE AVENUE
CHARLOTTE, NC
ZIP 28206
Get Directions

Facility Phone Number: 980 302-8521

Facility Type: Physician Office

Certificate Type: Microscopy
NPI Number: 1861019150

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name Field Value
CLIA Number 34D2192072
LAB Type Physician Office
Facility Name NOVANT HEALTH MICHAEL JORDAN FAMILY MEDICAL CLINIC NORTHEND
Street 2701 STATESVILLE AVENUE
City CHARLOTTE
State NC
ZIP 28206
Phone 980 302-8521
CertificateType 3
CertificateEffectiveDate 9/4/2022
CertificateExpirationDate 9/3/2024
FacilityType PPMP

Download Record

Download this CLIA NUMBER record in Text format: Export

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

Download this CLIA NUMBER record in XML format: Export

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