34D0946991 CLIA NUMBER - WFUHS INTERNAL MEDICINE/NEPHROLOGY

Laboratory Demographics

  • CLIA Code: 34D0946991
  • Facility Name: WFUHS INTERNAL MEDICINE/NEPHROLOGY
  • Facility Address: MEDICAL CENTER BOULEVARD
    WINSTON-SALEM, NC
    ZIP 27157
  • Facility Phone: 336 716-2062
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. RODOLFO PASCUAL
  • NPI Number: 1801064886
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D0946991
LAB Type Physician Office
Facility Name WFUHS INTERNAL MEDICINE/NEPHROLOGY
Street MEDICAL CENTER BOULEVARD
City WINSTON-SALEM
State NC
ZIP 27157
Phone 336 716-2062
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 6/8/2024
Certificate Expiration Date 6/7/2026
Facility Type Physician Office
Lab Director DR. RODOLFO PASCUAL

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