34D2271533 CLIA NUMBER - NOVANT HEALTH INFUSION - SOUTHPARK

Laboratory Demographics

  • CLIA Code: 34D2271533
  • Facility Name: NOVANT HEALTH INFUSION - SOUTHPARK
  • Facility Address: 6324 FAIRVIEW ROAD, INFUSION SUITE 330
    CHARLOTTE, NC
    ZIP 28210
  • Facility Phone: 704 316-2670
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NATASHA PADILLA
  • NPI Number: 1104600543
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D2271533
LAB Type Physician Office
Facility Name NOVANT HEALTH INFUSION - SOUTHPARK
Street 6324 FAIRVIEW ROAD, INFUSION SUITE 330
City CHARLOTTE
State NC
ZIP 28210
Phone 704 316-2670
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2024
Certificate Expiration Date 11/2/2026
Facility Type Physician Office
Lab Director NATASHA PADILLA

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