34D0943822 CLIA NUMBER - JAMES W SHORT MD PA

Laboratory Demographics

  • CLIA Code: 34D0943822
  • Facility Name: JAMES W SHORT MD PA
  • Facility Address: 796 DOCTORS COURT
    ROXBORO, NC
    ZIP 27573
  • Facility Phone: 336 598-0002
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. JAMES W. SHORT
  • NPI Number: 1215931837
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D0943822
LAB Type Physician Office
Facility Name JAMES W SHORT MD PA
Street 796 DOCTORS COURT
City ROXBORO
State NC
ZIP 27573
Phone 336 598-0002
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 4/30/2024
Certificate Expiration Date 4/29/2026
Facility Type Physician Office
Lab Director DR. JAMES W. SHORT

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This page was last updated on: 6/4/2025