34D2203896 CLIA NUMBER - LAKE NORMAN CHARTER SCHOOL

Laboratory Demographics

CLIA Number: 34D2203896

Facility Name: LAKE NORMAN CHARTER SCHOOL

Facility Address:
12435 S OLD STATESVILLE ROAD
HUNTERSVILLE, NC
ZIP 28078
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Facility Phone Number: 704 948-8600

Facility Type: School/Student Health Service

Certificate Type: Waiver

NPI Number: 1376033845

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name Field Value
CLIA Number 34D2203896
LAB Type School/Student Health Service
Facility Name LAKE NORMAN CHARTER SCHOOL
Street 12435 S OLD STATESVILLE ROAD
City HUNTERSVILLE
State NC
ZIP 28078
Phone 704 948-8600
CertificateType 4
CertificateEffectiveDate 12/7/2022
CertificateExpirationDate 12/6/2024
FacilityType Waiver

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