34D0239279 CLIA NUMBER - GREENSBORO ADULT & ADOLSC INT MED PA

Laboratory Demographics

  • CLIA Code: 34D0239279
  • Facility Name: GREENSBORO ADULT & ADOLSC INT MED PA
  • Facility Address: 1511 WESTOVER TERRACE SUITE #103
    GREENSBORO, NC
    ZIP 27408
  • Facility Phone: 910 378-9906
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WILLIAM D. MC KEOWN MD
  • NPI Number: 1952396202
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 34D0239279
LAB Type Physician Office
Facility Name GREENSBORO ADULT & ADOLSC INT MED PA
Street 1511 WESTOVER TERRACE SUITE #103
City GREENSBORO
State NC
ZIP 27408
Phone 910 378-9906
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 WILLIAM D. MC KEOWN MD

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