34D2294835 CLIA NUMBER - NORTH CHARLOTTE PLASTIC & RECONSTRUCTIVE SURGERY

Laboratory Demographics

  • CLIA Code: 34D2294835
  • Facility Name: NORTH CHARLOTTE PLASTIC & RECONSTRUCTIVE SURGERY
  • Facility Address: 9735 KINCEY AVE STE 104
    HUNTERSVILLE, NC
    ZIP 28078
  • Facility Phone: 704 896-5556
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ERIK J. MILES
  • NPI Number: 1437301116
  • Taxonomy: 208200000X - Plastic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 34D2294835
LAB Type Physician Office
Facility Name NORTH CHARLOTTE PLASTIC & RECONSTRUCTIVE SURGERY
Street 9735 KINCEY AVE STE 104
City HUNTERSVILLE
State NC
ZIP 28078
Phone 704 896-5556
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2023
Certificate Expiration Date 11/29/2025
Facility Type Physician Office
Lab Director ERIK J. MILES

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