34D2211383 CLIA NUMBER - NOVANT HEALTH PEDIATRIC PULMONOLOGY

Laboratory Demographics

CLIA Number: 34D2211383

Facility Name: NOVANT HEALTH PEDIATRIC PULMONOLOGY

Facility Address:
6331 CARMEL RD SUITE 102
CHARLOTTE, NC
ZIP 28226
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Facility Phone Number: 704 316-5280

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1225531445

Taxonomy: 2080P0214X - Pediatrics
A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.

CLIA Record

Field Name	Field Value
CLIA Number	34D2211383
LAB Type	Physician Office
Facility Name	NOVANT HEALTH PEDIATRIC PULMONOLOGY
Street	6331 CARMEL RD SUITE 102
City	CHARLOTTE
State	NC
ZIP	28226
Phone	704 316-5280
CertificateType	4
CertificateEffectiveDate	1/27/2023
CertificateExpirationDate	1/26/2025
FacilityType	Waiver

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