34D0874189 CLIA NUMBER - REIDSVILLE FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 34D0874189
  • Facility Name: REIDSVILLE FAMILY MEDICINE
  • Facility Address: 520 MAPLE AVENUE, SUITE B
    REIDSVILLE, NC
    ZIP 27320
  • Facility Phone: 336 634-3960
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JOYCE G. COOK
  • NPI Number: 1053603001
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D0874189
LAB Type Physician Office
Facility Name REIDSVILLE FAMILY MEDICINE
Street 520 MAPLE AVENUE, SUITE B
City REIDSVILLE
State NC
ZIP 27320
Phone 336 634-3960
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 8/5/2023
Certificate Expiration Date 8/4/2025
Facility Type Physician Office
Lab Director JOYCE G. COOK

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This page was last updated on: 3/20/2025