34D0671311 CLIA NUMBER - BAILEY PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 34D0671311
  • Facility Name: BAILEY PRIMARY CARE
  • Facility Address: 6321 DEANS ST
    BAILEY, NC
    ZIP 27807
  • Facility Phone: 919 235-4181
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: THEODORE G. BRNA JR MD
  • NPI Number: 1629753231
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D0671311
LAB Type Physician Office
Facility Name BAILEY PRIMARY CARE
Street 6321 DEANS ST
City BAILEY
State NC
ZIP 27807
Phone 919 235-4181
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 3/26/2024
Certificate Expiration Date 3/25/2026
Facility Type Physician Office
Lab Director THEODORE G. BRNA JR MD

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