34D0968630 CLIA NUMBER - CONE HEALTH HEART CARE AT ANNIE PENN A DEPARTMENT OF THE MOSES

Laboratory Demographics

  • CLIA Code: 34D0968630
  • Facility Name: CONE HEALTH HEART CARE AT ANNIE PENN A DEPARTMENT OF THE MOSES
  • Facility Address: 618 SOUTH MAIN STREET
    REIDSVILLE, NC
    ZIP 27320
  • Facility Phone: 336 951-4550
  • Facility Type: Other - HOPD
  • Facility Type: Waiver
  • Lab Director: JONATHAN BRANCH
  • NPI Number: 1073881850
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 34D0968630
LAB Type Other - HOPD
Facility Name CONE HEALTH HEART CARE AT ANNIE PENN A DEPARTMENT OF THE MOSES
Street 618 SOUTH MAIN STREET
City REIDSVILLE
State NC
ZIP 27320
Phone 336 951-4550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2023
Certificate Expiration Date 12/16/2025
Facility Type Other - HOPD
Lab Director JONATHAN BRANCH

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