34D0237602 CLIA NUMBER - NOVANT HEALTH SALEM FAMILY MEDICINE

Laboratory Demographics

CLIA Number: 34D0237602

Facility Name: NOVANT HEALTH SALEM FAMILY MEDICINE

Facility Address:
105 VEST MILL CIRCLE
WINSTON SALEM, NC
ZIP 27103
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Facility Phone Number: 336 718-7800

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1912955089

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	34D0237602
LAB Type	Physician Office
Facility Name	NOVANT HEALTH SALEM FAMILY MEDICINE
Street	105 VEST MILL CIRCLE
City	WINSTON SALEM
State	NC
ZIP	27103
Phone	336 718-7800
CertificateType	2
CertificateEffectiveDate	11/17/2021
CertificateExpirationDate	4/30/2024
FacilityType	Compliance

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