Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
34D0987353
|
|
Clinical laboratory number
|
|
Lab Name
|
CENTER FOR VASCULAR MEDICINE
|
|
Laboratory Name
|
|
Lab Type
|
Physician Office
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
301-982-2000
|
|
Laboratory telephone number
|
|
Fax
|
704-854-3996
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
15825 BALLANTYNE MEDICAL PLACE, SUITE 240
|
|
Primary location adress line
|
|
City
|
CHARLOTTE
|
|
Primary location city name
|
|
State
|
NC
|
|
Primary location state name
|
|
Zip
|
28277
|
|
Primary location postal code
|