34D0978717 CLIA NUMBER - EAGLE PHYSICIANS AT GUILFORD COLLEGE

Laboratory Demographics

  • CLIA Code: 34D0978717
  • Facility Name: EAGLE PHYSICIANS AT GUILFORD COLLEGE
  • Facility Address: 1210 NEW GARDEN ROAD
    GREENSBORO, NC
    ZIP 27410
  • Facility Phone: 336 294-6190
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: C ALAN ROSS
  • NPI Number: 1457436982
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D0978717
LAB Type Physician Office
Facility Name EAGLE PHYSICIANS AT GUILFORD COLLEGE
Street 1210 NEW GARDEN ROAD
City GREENSBORO
State NC
ZIP 27410
Phone 336 294-6190
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 4/1/2025
Certificate Expiration Date 3/31/2027
Facility Type Physician Office
Lab Director C ALAN ROSS

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