34D2204399 CLIA NUMBER - HANNON ORTHODONTICS

Laboratory Demographics

  • CLIA Code: 34D2204399
  • Facility Name: HANNON ORTHODONTICS
  • Facility Address: 525 SOUTH NEW HOPE ROAD
    GASTONIA, NC
    ZIP 28054
  • Facility Phone: 704 865-5821
  • Facility Type: Other - DENTAL OFFICE
  • Facility Type: Waiver
  • Lab Director: JUSTIN P. HANNON
  • NPI Number: 1427330992
  • Taxonomy: 1223X0400X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 34D2204399
LAB Type Other - DENTAL OFFICE
Facility Name HANNON ORTHODONTICS
Street 525 SOUTH NEW HOPE ROAD
City GASTONIA
State NC
ZIP 28054
Phone 704 865-5821
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/9/2024
Certificate Expiration Date 12/8/2026
Facility Type Other - DENTAL OFFICE
Lab Director JUSTIN P. HANNON

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