34D0238937 CLIA NUMBER - GREEN VALLEY OB/GYN

Laboratory Demographics

CLIA Number: 34D0238937

Facility Name: GREEN VALLEY OB/GYN

Facility Address:
719 GREEN VALLEY ROAD, SUITE 201
GREENSBORO, NC
ZIP 27408
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Facility Phone Number: 336 378-1110

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1497155857

Taxonomy: 207VX0000X - Obstetrics & Gynecology
A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name Field Value
CLIA Number 34D0238937
LAB Type Physician Office
Facility Name GREEN VALLEY OB/GYN
Street 719 GREEN VALLEY ROAD, SUITE 201
City GREENSBORO
State NC
ZIP 27408
Phone 336 378-1110
CertificateType 3
CertificateEffectiveDate 5/1/2023
CertificateExpirationDate 4/30/2025
FacilityType PPMP

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