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

Laboratory Demographics

  • CLIA Code: 34D0246874
  • Facility Name: WAKE FOREST BAPTIST HEALTH FAMILY MEDICINE - CONOVER
  • Facility Address: 305 FIRST STREET EAST
    CONOVER, NC
    ZIP 28613
  • Facility Phone: 336 702-1195
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DAVID G. COFFEY
  • NPI Number: 1326313735
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

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
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/5/2024
Certificate Expiration Date 10/4/2026
Facility Type Physician Office
Lab Director DAVID G. COFFEY

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