34D1029653 CLIA NUMBER - PIEDMONT INTEGRATIVE MEDICINE PA

Laboratory Demographics

  • CLIA Code: 34D1029653
  • Facility Name: PIEDMONT INTEGRATIVE MEDICINE PA
  • Facility Address: 1411 PLAZA WEST ROAD STE B
    WINSTON SALEM, NC
    ZIP 27103
  • Facility Phone: 336 460-0240
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ALEXANDER T. AUGOUSTIDES MD
  • NPI Number: 1013031301
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 34D1029653
LAB Type Physician Office
Facility Name PIEDMONT INTEGRATIVE MEDICINE PA
Street 1411 PLAZA WEST ROAD STE B
City WINSTON SALEM
State NC
ZIP 27103
Phone 336 460-0240
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 8/20/2024
Certificate Expiration Date 8/19/2026
Facility Type Physician Office
Lab Director ALEXANDER T. AUGOUSTIDES MD

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