34D0672347 CLIA NUMBER - NEPHROLOGY ASSOCIATES, PLLC

Laboratory Demographics

CLIA Number: 34D0672347

Facility Name: NEPHROLOGY ASSOCIATES, PLLC

Facility Address:
730 HIGHLAND OAKS DRIVE, SUITE 201
WINSTON SALEM, NC
ZIP 27103
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Facility Phone Number: 919 768-2425

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1003569849

Taxonomy: 363LF0000X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	34D0672347
LAB Type	Physician Office
Facility Name	NEPHROLOGY ASSOCIATES, PLLC
Street	730 HIGHLAND OAKS DRIVE, SUITE 201
City	WINSTON SALEM
State	NC
ZIP	27103
Phone	919 768-2425
CertificateType	3
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	PPMP

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