34D2258022 CLIA NUMBER - INTEGROUS FAMILY CARE, PLLC

Laboratory Demographics

  • CLIA Code: 34D2258022
  • Facility Name: INTEGROUS FAMILY CARE, PLLC
  • Facility Address: 3210 PROSPERITY CHURCH RD, SUITE 103
    CHARLOTTE, NC
    ZIP 28269
  • Facility Phone: 980 598-0404
  • Facility Type: Practitioner Other
  • Facility Type: Microscopy
  • Lab Director: SABRINA A. MCCLUSKEY
  • NPI Number: 1144977869
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 34D2258022
LAB Type Practitioner Other
Facility Name INTEGROUS FAMILY CARE, PLLC
Street 3210 PROSPERITY CHURCH RD, SUITE 103
City CHARLOTTE
State NC
ZIP 28269
Phone 980 598-0404
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/14/2024
Certificate Expiration Date 4/13/2026
Facility Type Practitioner Other
Lab Director SABRINA A. MCCLUSKEY

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