34D0688126 CLIA NUMBER - STEPHEN D KNOWLTON MD

Laboratory Demographics

  • CLIA Code: 34D0688126
  • Facility Name: STEPHEN D KNOWLTON MD
  • Facility Address: 601 WEST HARRISON ST
    REIDSVILLE, NC
    ZIP 27320
  • Facility Phone: 336 349-7114
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: STEPHEN D. KNOWLTON
  • NPI Number: 1003969874
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D0688126
LAB Type Physician Office
Facility Name STEPHEN D KNOWLTON MD
Street 601 WEST HARRISON ST
City REIDSVILLE
State NC
ZIP 27320
Phone 336 349-7114
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 11/1/2023
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director STEPHEN D. KNOWLTON

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