34D0867298 CLIA NUMBER - ATRIUM HEALTH WAKE FOREST BAPTIST FAMILY MEDICINE BERMUDA RUN

Laboratory Demographics

  • CLIA Code: 34D0867298
  • Facility Name: ATRIUM HEALTH WAKE FOREST BAPTIST FAMILY MEDICINE BERMUDA RUN
  • Facility Address: 147 PEACHTREE LANE
    ADVANCE, NC
    ZIP 27006
  • Facility Phone: 336 713-2261
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: FRANKLIN L. TOLBERT
  • NPI Number: 1124265236
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 34D0867298
LAB Type Physician Office
Facility Name ATRIUM HEALTH WAKE FOREST BAPTIST FAMILY MEDICINE BERMUDA RUN
Street 147 PEACHTREE LANE
City ADVANCE
State NC
ZIP 27006
Phone 336 713-2261
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director FRANKLIN L. TOLBERT

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