34D2316492 CLIA NUMBER - WESLEY BEHAVIORAL HEALTH SERVICES LLC

Laboratory Demographics

  • CLIA Code: 34D2316492
  • Facility Name: WESLEY BEHAVIORAL HEALTH SERVICES LLC
  • Facility Address: 1935 J. N. PEASE PLACE SUITE 102
    CHARLOTTE, NC
    ZIP 28262
  • Facility Phone: 980 355-3737
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: CYNTHIA DALTON
  • NPI Number: 1730894676
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 34D2316492
LAB Type Practitioner Other
Facility Name WESLEY BEHAVIORAL HEALTH SERVICES LLC
Street 1935 J. N. PEASE PLACE SUITE 102
City CHARLOTTE
State NC
ZIP 28262
Phone 980 355-3737
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/7/2025
Certificate Expiration Date 1/6/2027
Facility Type Practitioner Other
Lab Director CYNTHIA DALTON

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