34D0937287 CLIA NUMBER - JAIME E TRUJILLO M D PA

Laboratory Demographics

  • CLIA Code: 34D0937287
  • Facility Name: JAIME E TRUJILLO M D PA
  • Facility Address: 3080 TRENWEST DRIVE
    WINSTON SALEM, NC
    ZIP 27103
  • Facility Phone: 336 768-0496
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JAIME E. TRUJILLO MD
  • NPI Number: 1073564399
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D0937287
LAB Type Physician Office
Facility Name JAIME E TRUJILLO M D PA
Street 3080 TRENWEST DRIVE
City WINSTON SALEM
State NC
ZIP 27103
Phone 336 768-0496
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 8/1/2025
Certificate Expiration Date 7/31/2027
Facility Type Physician Office
Lab Director JAIME E. TRUJILLO MD

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