34D2316769 CLIA NUMBER - PHYCINITY PLLC AT HUNTERSVILLE

Laboratory Demographics

  • CLIA Code: 34D2316769
  • Facility Name: PHYCINITY PLLC AT HUNTERSVILLE
  • Facility Address: 9930 KINCEY AVENUE, SUITE 380
    HUNTERSVILLE, NC
    ZIP 28078
  • Facility Phone: 919 373-3636
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AIMEE PONS-CABAN,
  • NPI Number: 1972040848
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 34D2316769
LAB Type Physician Office
Facility Name PHYCINITY PLLC AT HUNTERSVILLE
Street 9930 KINCEY AVENUE, SUITE 380
City HUNTERSVILLE
State NC
ZIP 28078
Phone 919 373-3636
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/13/2025
Certificate Expiration Date 1/12/2027
Facility Type Physician Office
Lab Director AIMEE PONS-CABAN,

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