34D0246964 CLIA NUMBER - ATRIUM HEALTH WAKE FOREST BAPTIST- FAMILY MEDICINE ASHE

Laboratory Demographics

  • CLIA Code: 34D0246964
  • Facility Name: ATRIUM HEALTH WAKE FOREST BAPTIST- FAMILY MEDICINE ASHE
  • Facility Address: 151 MEDICAL PARK DRIVE
    JEFFERSON, NC
    ZIP 28640
  • Facility Phone: 336 246-7161
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. LINDSEY E. SHAPIRO
  • NPI Number: 1518393560
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D0246964
LAB Type Physician Office
Facility Name ATRIUM HEALTH WAKE FOREST BAPTIST- FAMILY MEDICINE ASHE
Street 151 MEDICAL PARK DRIVE
City JEFFERSON
State NC
ZIP 28640
Phone 336 246-7161
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 6/1/2025
Certificate Expiration Date 5/31/2027
Facility Type Physician Office
Lab Director DR. LINDSEY E. SHAPIRO

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