34D1002235 CLIA NUMBER - ATRIUM HEALTH WAKE FOREST BAPTIST- FAMILY MEDICINE DEEP RIVER

Laboratory Demographics

  • CLIA Code: 34D1002235
  • Facility Name: ATRIUM HEALTH WAKE FOREST BAPTIST- FAMILY MEDICINE DEEP RIVER
  • Facility Address: 138 DUBLIN SQUARE ROAD, SUITE C
    ASHEBORO, NC
    ZIP 27203
  • Facility Phone: 336 625-3333
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: THOMAS M. WHYTE
  • NPI Number: 1225153984
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D1002235
LAB Type Physician Office
Facility Name ATRIUM HEALTH WAKE FOREST BAPTIST- FAMILY MEDICINE DEEP RIVER
Street 138 DUBLIN SQUARE ROAD, SUITE C
City ASHEBORO
State NC
ZIP 27203
Phone 336 625-3333
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 8/2/2024
Certificate Expiration Date 8/1/2026
Facility Type Physician Office
Lab Director THOMAS M. WHYTE

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