34D0931283 CLIA NUMBER - AHWFB FAMILY MEDICINE - NORTH DAVIDSON

Laboratory Demographics

  • CLIA Code: 34D0931283
  • Facility Name: AHWFB FAMILY MEDICINE - NORTH DAVIDSON
  • Facility Address: 799 HICKORY TREE ROAD SUITE A
    WINSTON-SALEM, NC
    ZIP 27127
  • Facility Phone: 336 702-1253
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. CHRISTA PANNELL
  • NPI Number: 1346213188
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D0931283
LAB Type Physician Office
Facility Name AHWFB FAMILY MEDICINE - NORTH DAVIDSON
Street 799 HICKORY TREE ROAD SUITE A
City WINSTON-SALEM
State NC
ZIP 27127
Phone 336 702-1253
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 4/25/2024
Certificate Expiration Date 4/24/2026
Facility Type Physician Office
Lab Director DR. CHRISTA PANNELL

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