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34D1004185 CLIA NUMBER - CENTER FOR CLINICAL RESEARCH,THE

Laboratory Demographics

CLIA Number: 34D1004185

Facility Name: CENTER FOR CLINICAL RESEARCH,THE

Facility Address:
145 KIMEL PARK DRIVE, SUITE 330
WINSTON-SALEM, NC
ZIP 27103
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Facility Phone Number: 336 765-6181

Facility Type: Other

Certificate Type: Waiver
NPI Number: 1174922348

Taxonomy: 2084P0802X - Psychiatry & Neurology
Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.

CLIA Record

Field Name Field Value
CLIA Number 34D1004185
LAB Type Other
Facility Name CENTER FOR CLINICAL RESEARCH,THE
Street 145 KIMEL PARK DRIVE, SUITE 330
City WINSTON-SALEM
State NC
ZIP 27103
Phone 336 765-6181
CertificateType 4
CertificateEffectiveDate 9/20/2022
CertificateExpirationDate 9/19/2024
FacilityType Waiver

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