34D0904030 CLIA NUMBER - WINSTON SALEM STATE UNIVERSITY WELLNESS CENTER

Laboratory Demographics

  • CLIA Code: 34D0904030
  • Facility Name: WINSTON SALEM STATE UNIVERSITY WELLNESS CENTER
  • Facility Address: 601 S MARTIN LUTHER KING JR DRIVE
    WINSTON SALEM, NC
    ZIP 27110
  • Facility Phone: 336 750-3301
  • Facility Type: School/Student Health Service
  • Facility Type: Microscopy
  • Lab Director: KAREN T. WILLIAMS
  • NPI Number: 1851713374
  • Taxonomy: 261QS1000X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 34D0904030
LAB Type School/Student Health Service
Facility Name WINSTON SALEM STATE UNIVERSITY WELLNESS CENTER
Street 601 S MARTIN LUTHER KING JR DRIVE
City WINSTON SALEM
State NC
ZIP 27110
Phone 336 750-3301
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 5/2/2024
Certificate Expiration Date 5/1/2026
Facility Type School/Student Health Service
Lab Director KAREN T. WILLIAMS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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