34D0960750 CLIA NUMBER - ARDMORE FAMILY PRACTICE, PA

Laboratory Demographics

CLIA Number: 34D0960750

Facility Name: ARDMORE FAMILY PRACTICE, PA

Facility Address:
2805 LYNDHURST AVE
WINSTON-SALEM, NC
ZIP 27103
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Facility Phone Number: 336 659-0076

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1750342820

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	34D0960750
LAB Type	Physician Office
Facility Name	ARDMORE FAMILY PRACTICE, PA
Street	2805 LYNDHURST AVE
City	WINSTON-SALEM
State	NC
ZIP	27103
Phone	336 659-0076
CertificateType	2
CertificateEffectiveDate	8/20/2021
CertificateExpirationDate	4/30/2024
FacilityType	Compliance

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This page was last updated on: 4/23/2024