34D2325581 CLIA NUMBER - COMPLETE CARE DIRECT PRIMARY CARE PLLC

Laboratory Demographics

  • CLIA Code: 34D2325581
  • Facility Name: COMPLETE CARE DIRECT PRIMARY CARE PLLC
  • Facility Address: 17210 LANCASTER HWY STE 408
    CHARLOTTE, NC
    ZIP 28277
  • Facility Phone: 803 855-1707
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BUKIE A. ADEFABI
  • NPI Number: 1326821158
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D2325581
LAB Type Physician Office
Facility Name COMPLETE CARE DIRECT PRIMARY CARE PLLC
Street 17210 LANCASTER HWY STE 408
City CHARLOTTE
State NC
ZIP 28277
Phone 803 855-1707
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/16/2025
Certificate Expiration Date 6/15/2027
Facility Type Physician Office
Lab Director BUKIE A. ADEFABI

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