34D2291275 CLIA NUMBER - EIGHT ONE FOUR LABS LLC

Laboratory Demographics

  • CLIA Code: 34D2291275
  • Facility Name: EIGHT ONE FOUR LABS LLC
  • Facility Address: 5736 N TRYON ST STE 129
    CHARLOTTE, NC
    ZIP 28213
  • Facility Phone: 980 448-8115
  • Facility Type: Other - DIAGNOSTIC LABOROTORY
  • Facility Type: Waiver
  • Lab Director: LOVE C. EUSHEIKA
  • NPI Number: 1881473304
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 34D2291275
LAB Type Other - DIAGNOSTIC LABOROTORY
Facility Name EIGHT ONE FOUR LABS LLC
Street 5736 N TRYON ST STE 129
City CHARLOTTE
State NC
ZIP 28213
Phone 980 448-8115
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/9/2023
Certificate Expiration Date 10/8/2025
Facility Type Other - DIAGNOSTIC LABOROTORY
Lab Director LOVE C. EUSHEIKA

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