34D2303572 CLIA NUMBER - LANGTREENCHARTERNACADEMY - UPPER CAMPUS

Laboratory Demographics

  • CLIA Code: 34D2303572
  • Facility Name: LANGTREENCHARTERNACADEMY - UPPER CAMPUS
  • Facility Address: 185 W WATERLYNN RD
    MOORESVILLE, NC
    ZIP 28117
  • Facility Phone: 704 235-0865
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: HEATHER HUNSUCKER
  • NPI Number: 1760967210
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 34D2303572
LAB Type School/Student Health Service
Facility Name LANGTREENCHARTERNACADEMY - UPPER CAMPUS
Street 185 W WATERLYNN RD
City MOORESVILLE
State NC
ZIP 28117
Phone 704 235-0865
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/26/2024
Certificate Expiration Date 4/25/2026
Facility Type School/Student Health Service
Lab Director HEATHER HUNSUCKER

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