34D2304379 CLIA NUMBER - WAVERLY SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 34D2304379
  • Facility Name: WAVERLY SURGERY CENTER
  • Facility Address: 11210 GOLF LINKS DR N STE 105
    CHARLOTTE, NC
    ZIP 28277
  • Facility Phone: 704 800-4642
  • Facility Type: Other - OFFICE BASED SURGERY CENT
  • Facility Type: Waiver
  • Lab Director: KAREN E. JENKINS
  • NPI Number: 1790538817
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 34D2304379
LAB Type Other - OFFICE BASED SURGERY CENT
Facility Name WAVERLY SURGERY CENTER
Street 11210 GOLF LINKS DR N STE 105
City CHARLOTTE
State NC
ZIP 28277
Phone 704 800-4642
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/13/2024
Certificate Expiration Date 5/12/2026
Facility Type Other - OFFICE BASED SURGERY CENT
Lab Director KAREN E. JENKINS

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