34D2264855 CLIA NUMBER - CENTERWELL SENIOR PRIMARY CARE-UNIVERSITY CITY

Laboratory Demographics

  • CLIA Code: 34D2264855
  • Facility Name: CENTERWELL SENIOR PRIMARY CARE-UNIVERSITY CITY
  • Facility Address: 8727 JW CLAY BLVD.
    CHARLOTTE, NC
    ZIP 28262
  • Facility Phone: 980 999-1831
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ERICA SAVAGE-JETER
  • NPI Number: 1366181943
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D2264855
LAB Type Physician Office
Facility Name CENTERWELL SENIOR PRIMARY CARE-UNIVERSITY CITY
Street 8727 JW CLAY BLVD.
City CHARLOTTE
State NC
ZIP 28262
Phone 980 999-1831
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2024
Certificate Expiration Date 7/19/2026
Facility Type Physician Office
Lab Director ERICA SAVAGE-JETER

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This page was last updated on: 6/4/2025