34D0974789 CLIA NUMBER - WINECOFF FAMILY PRACTICE, PLLC

Laboratory Demographics

  • CLIA Code: 34D0974789
  • Facility Name: WINECOFF FAMILY PRACTICE, PLLC
  • Facility Address: 304 WINECOFF SCHOOL ROAD
    CONCORD, NC
    ZIP 28027
  • Facility Phone: 704 262-7901
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: JAN VAN RAVESTEYN
  • NPI Number: 1467600379
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D0974789
LAB Type Physician Office
Facility Name WINECOFF FAMILY PRACTICE, PLLC
Street 304 WINECOFF SCHOOL ROAD
City CONCORD
State NC
ZIP 28027
Phone 704 262-7901
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 4/24/2025
Certificate Expiration Date 4/23/2027
Facility Type Physician Office
Lab Director JAN VAN RAVESTEYN

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