34D0705408 CLIA NUMBER - ATRIUM WFBH FAMILY MEDICINE THOMASVILLE

Laboratory Demographics

CLIA Number: 34D0705408

Facility Name: ATRIUM WFBH FAMILY MEDICINE THOMASVILLE

Facility Address:
711 NATIONAL HWY, STE 500
THOMASVILLE, NC
ZIP 27360
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Facility Phone Number: 336 475-9164

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1043617848

Taxonomy: 332900000X - Non-Pharmacy Dispensing Site
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

CLIA Record

Field Name	Field Value
CLIA Number	34D0705408
LAB Type	Physician Office
Facility Name	ATRIUM WFBH FAMILY MEDICINE THOMASVILLE
Street	711 NATIONAL HWY, STE 500
City	THOMASVILLE
State	NC
ZIP	27360
Phone	336 475-9164
CertificateType	4
CertificateEffectiveDate	1/3/2024
CertificateExpirationDate	1/2/2026
FacilityType	Waiver

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