42D2038785 CLIA NUMBER - CHARLOTTE CARDIOLOGY ASSOCIATES, PLLC

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Laboratory Demographics

CLIA Number: 42D2038785

Facility Name: CHARLOTTE CARDIOLOGY ASSOCIATES, PLLC

Facility Address:
7666 CHARLOTTE HWY, STE 230
INDIAN LAND, SC
ZIP 29707
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Facility Phone Number: 803 547-8800

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1104113745

Taxonomy: 207RC0000X - Internal Medicine
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

CLIA Record

Field Name	Field Value
CLIA Number	42D2038785
LAB Type	Physician Office
Facility Name	CHARLOTTE CARDIOLOGY ASSOCIATES, PLLC
Street	7666 CHARLOTTE HWY, STE 230
City	INDIAN LAND
State	SC
ZIP	29707
Phone	803 547-8800
CertificateType	4
CertificateEffectiveDate	3/26/2024
CertificateExpirationDate	3/25/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024