34D0238368 CLIA NUMBER - EDEN INTERNAL MEDICINE PLLC

Laboratory Demographics

  • CLIA Code: 34D0238368
  • Facility Name: EDEN INTERNAL MEDICINE PLLC
  • Facility Address: 405 THOMPSON STREET
    EDEN, NC
    ZIP 27288
  • Facility Phone: 336 627-4896
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ASHISH C. SHAH MD
  • NPI Number: 1275773954
  • Taxonomy: 363A00000X - Physician Assistant

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 34D0238368
LAB Type Physician Office
Facility Name EDEN INTERNAL MEDICINE PLLC
Street 405 THOMPSON STREET
City EDEN
State NC
ZIP 27288
Phone 336 627-4896
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director ASHISH C. SHAH MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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