Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
34D1075062
|
|
Clinical laboratory number
|
|
Lab Name
|
NORTHLAKE NEPHROLOGY, PLLC
|
|
Laboratory Name
|
|
Lab Type
|
Physician Office
|
|
Laboratory Type
|
|
Certificate Type
|
PPMP
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
704-978-0052
|
|
Laboratory telephone number
|
|
Fax
|
704-978-0054
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
1665 DAVIE AVENUE
|
|
Primary location adress line
|
|
City
|
STATESVILLE
|
|
Primary location city name
|
|
State
|
NC
|
|
Primary location state name
|
|
Zip
|
28677
|
|
Primary location postal code
|