34D1025051 CLIA NUMBER - CLEMMONS URGENT & PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 34D1025051
  • Facility Name: CLEMMONS URGENT & PRIMARY CARE
  • Facility Address: 2245-C LEWISVILLE CLEMMONS RD
    CLEMMONS, NC
    ZIP 27012
  • Facility Phone: 330 712-8225
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ARIE MANTIN
  • NPI Number: 1477919173
  • Taxonomy: 261QM0801X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 34D1025051
LAB Type Physician Office
Facility Name CLEMMONS URGENT & PRIMARY CARE
Street 2245-C LEWISVILLE CLEMMONS RD
City CLEMMONS
State NC
ZIP 27012
Phone 330 712-8225
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 4/28/2024
Certificate Expiration Date 4/27/2026
Facility Type Physician Office
Lab Director ARIE MANTIN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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