34D0246874 CLIA NUMBER - WAKE FOREST BAPTIST HEALTH FAMILY MEDICINE - CONOVER

Laboratory Demographics

CLIA Number: 34D0246874

Facility Name: WAKE FOREST BAPTIST HEALTH FAMILY MEDICINE - CONOVER

Facility Address:
305 FIRST STREET EAST
CONOVER, NC
ZIP 28613
Get Directions

Facility Phone Number: 336 702-1195

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1326313735

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	34D0246874
LAB Type	Physician Office
Facility Name	WAKE FOREST BAPTIST HEALTH FAMILY MEDICINE - CONOVER
Street	305 FIRST STREET EAST
City	CONOVER
State	NC
ZIP	28613
Phone	336 702-1195
CertificateType	3
CertificateEffectiveDate	10/5/2022
CertificateExpirationDate	10/4/2024
FacilityType	PPMP

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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