34D2296838 CLIA NUMBER - EDWARDS HEALTH, PLLC

Laboratory Demographics

  • CLIA Code: 34D2296838
  • Facility Name: EDWARDS HEALTH, PLLC
  • Facility Address: 4748 MAIN STREET
    SHALLOTTE, NC
    ZIP 28470
  • Facility Phone: 910 537-5919
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KAYLAN E. EDWARDS
  • NPI Number: 1952178105
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D2296838
LAB Type Physician Office
Facility Name EDWARDS HEALTH, PLLC
Street 4748 MAIN STREET
City SHALLOTTE
State NC
ZIP 28470
Phone 910 537-5919
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/5/2024
Certificate Expiration Date 1/4/2026
Facility Type Physician Office
Lab Director KAYLAN E. EDWARDS

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