34D2311612 CLIA NUMBER - CAROLINA DIGESTIVE HEALTH ASSOCIATES, PA

Laboratory Demographics

  • CLIA Code: 34D2311612
  • Facility Name: CAROLINA DIGESTIVE HEALTH ASSOCIATES, PA
  • Facility Address: 1085 NE GATEWAY COURT, SUITE 180
    CONCORD, NC
    ZIP 28025
  • Facility Phone: 704 927-6263
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FRED C. FOWLER
  • NPI Number: 1902895162
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D2311612
LAB Type Physician Office
Facility Name CAROLINA DIGESTIVE HEALTH ASSOCIATES, PA
Street 1085 NE GATEWAY COURT, SUITE 180
City CONCORD
State NC
ZIP 28025
Phone 704 927-6263
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/25/2024
Certificate Expiration Date 9/24/2026
Facility Type Physician Office
Lab Director FRED C. FOWLER

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