34D2291201 CLIA NUMBER - CAROLINA ESSENTIAL WELLNESS

Laboratory Demographics

  • CLIA Code: 34D2291201
  • Facility Name: CAROLINA ESSENTIAL WELLNESS
  • Facility Address: 7490 WILLIAMS POND LANE, STE 100
    CHARLOTTE, NC
    ZIP 28277
  • Facility Phone: 704 752-7779
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DR. JOHN WANG
  • NPI Number: 1669190088
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D2291201
LAB Type Practitioner Other
Facility Name CAROLINA ESSENTIAL WELLNESS
Street 7490 WILLIAMS POND LANE, STE 100
City CHARLOTTE
State NC
ZIP 28277
Phone 704 752-7779
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2025
Certificate Expiration Date 10/5/2027
Facility Type Practitioner Other
Lab Director DR. JOHN WANG

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