34D0861557 CLIA NUMBER - FELLOWSHIP HALL INC

Laboratory Demographics

  • CLIA Code: 34D0861557
  • Facility Name: FELLOWSHIP HALL INC
  • Facility Address: 5140 DUNSTAN ROAD
    GREENSBORO, NC
    ZIP 27415
  • Facility Phone: 336 621-3381
  • Facility Type: Other - DRUG REHAB HOSPITAL
  • Facility Type: Waiver
  • Lab Director: MICHAEL I. WASHO
  • NPI Number: 1225007719
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D0861557
LAB Type Other - DRUG REHAB HOSPITAL
Facility Name FELLOWSHIP HALL INC
Street 5140 DUNSTAN ROAD
City GREENSBORO
State NC
ZIP 27415
Phone 336 621-3381
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Other - DRUG REHAB HOSPITAL
Lab Director MICHAEL I. WASHO

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