34D2253513 CLIA NUMBER - BON LABORATORY SERVICES INC

Laboratory Demographics

  • CLIA Code: 34D2253513
  • Facility Name: BON LABORATORY SERVICES INC
  • Facility Address: 14248 DRAKE WATCH LN
    CHARLOTTE, NC
    ZIP 28262
  • Facility Phone: 312 391-2317
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: MOHAMMED A. ELYAS
  • NPI Number: 1720730385
  • Taxonomy: 246RM2200X - Technician, Pathology

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CLIA Record

Field Name Field Value
CLIA Number 34D2253513
LAB Type Community Clinic
Facility Name BON LABORATORY SERVICES INC
Street 14248 DRAKE WATCH LN
City CHARLOTTE
State NC
ZIP 28262
Phone 312 391-2317
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2024
Certificate Expiration Date 2/21/2026
Facility Type Community Clinic
Lab Director MOHAMMED A. ELYAS

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