34D2223722 CLIA NUMBER - PIEDMONT COMMUNITY CHARTER SCHOOL

Laboratory Demographics

  • CLIA Code: 34D2223722
  • Facility Name: PIEDMONT COMMUNITY CHARTER SCHOOL
  • Facility Address: 119 EAST SECOND AVE
    GASTONIA, NC
    ZIP 28054
  • Facility Phone: 704 853-2428
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: JENNIFER KILLEN
  • NPI Number: 1275099368
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 34D2223722
LAB Type School/Student Health Service
Facility Name PIEDMONT COMMUNITY CHARTER SCHOOL
Street 119 EAST SECOND AVE
City GASTONIA
State NC
ZIP 28054
Phone 704 853-2428
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/10/2025
Certificate Expiration Date 5/9/2027
Facility Type School/Student Health Service
Lab Director JENNIFER KILLEN

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