34D2326790 CLIA NUMBER - CAROLINAS ON SITE CARE EMPLOYER BASED CLINIC - PEARL

Laboratory Demographics

  • CLIA Code: 34D2326790
  • Facility Name: CAROLINAS ON SITE CARE EMPLOYER BASED CLINIC - PEARL
  • Facility Address: 915 PEARL PARK WAY
    CHARLOTTE, NC
    ZIP 28202
  • Facility Phone: 704 468-0400
  • Facility Type: Other - EMPLOYEE CLINIC
  • Facility Type: Waiver
  • Lab Director: JILL HOUSER
  • NPI Number: 1093765851
  • Taxonomy: 293D00000X - Physiological Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 34D2326790
LAB Type Other - EMPLOYEE CLINIC
Facility Name CAROLINAS ON SITE CARE EMPLOYER BASED CLINIC - PEARL
Street 915 PEARL PARK WAY
City CHARLOTTE
State NC
ZIP 28202
Phone 704 468-0400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/10/2025
Certificate Expiration Date 7/9/2027
Facility Type Other - EMPLOYEE CLINIC
Lab Director JILL HOUSER

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