34D2261382 CLIA NUMBER - AH NORTH MARKET NETWORK LLC DBA AHPC ONE HEALTH FAMILY MEDICINE - REA VILLAGE

Laboratory Demographics

  • CLIA Code: 34D2261382
  • Facility Name: AH NORTH MARKET NETWORK LLC DBA AHPC ONE HEALTH FAMILY MEDICINE - REA VILLAGE
  • Facility Address: 11530 PROVIDENCE ROAD, SUITE 2300
    CHARLOTTE, NC
    ZIP 28277
  • Facility Phone: 704 667-0670
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEVEN MOORE
  • NPI Number: 1215573423
  • Taxonomy: 207K00000X - Allergy & Immunology

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CLIA Record

Field Name Field Value
CLIA Number 34D2261382
LAB Type Physician Office
Facility Name AH NORTH MARKET NETWORK LLC DBA AHPC ONE HEALTH FAMILY MEDICINE - REA VILLAGE
Street 11530 PROVIDENCE ROAD, SUITE 2300
City CHARLOTTE
State NC
ZIP 28277
Phone 704 667-0670
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/12/2024
Certificate Expiration Date 3/11/2026
Facility Type Physician Office
Lab Director STEVEN MOORE

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