34D0237327 CLIA NUMBER - WINSTON-SALEM PEDIATRICS HIGH ROAD PEDIATRICS

Laboratory Demographics

  • CLIA Code: 34D0237327
  • Facility Name: WINSTON-SALEM PEDIATRICS HIGH ROAD PEDIATRICS
  • Facility Address: 2808 MAPLEWOOD AVENUE
    WINSTON SALEM, NC
    ZIP 27103
  • Facility Phone: 336 765-9000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. TAMMIE F. WILEY
  • NPI Number: 1154348597
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 34D0237327
LAB Type Physician Office
Facility Name WINSTON-SALEM PEDIATRICS HIGH ROAD PEDIATRICS
Street 2808 MAPLEWOOD AVENUE
City WINSTON SALEM
State NC
ZIP 27103
Phone 336 765-9000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/5/2024
Certificate Expiration Date 2/4/2026
Facility Type Physician Office
Lab Director DR. TAMMIE F. WILEY

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