34D2315915 CLIA NUMBER - NOVANT HEALTH BRADFORD CLINIC OBGYN - ELIZABETH

Laboratory Demographics

  • CLIA Code: 34D2315915
  • Facility Name: NOVANT HEALTH BRADFORD CLINIC OBGYN - ELIZABETH
  • Facility Address: 325 HAWTHORNE LN, SUITE 200
    CHARLOTTE, NC
    ZIP 28204
  • Facility Phone: 704 973-2196
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ALEXA K. MARTIN
  • NPI Number: 1003207960
  • Taxonomy: 207P00000X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D2315915
LAB Type Physician Office
Facility Name NOVANT HEALTH BRADFORD CLINIC OBGYN - ELIZABETH
Street 325 HAWTHORNE LN, SUITE 200
City CHARLOTTE
State NC
ZIP 28204
Phone 704 973-2196
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 12/20/2024
Certificate Expiration Date 12/19/2026
Facility Type Physician Office
Lab Director ALEXA K. MARTIN

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