34D1030229 CLIA NUMBER - SISTASIS FAMILY PRACTICE INC

Laboratory Demographics

  • CLIA Code: 34D1030229
  • Facility Name: SISTASIS FAMILY PRACTICE INC
  • Facility Address: 147 EAST ACADEMY ST
    ASHEBORO, NC
    ZIP 27203
  • Facility Phone: 336 633-1212
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JIM SISTASIS
  • NPI Number: 1780645812
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D1030229
LAB Type Physician Office
Facility Name SISTASIS FAMILY PRACTICE INC
Street 147 EAST ACADEMY ST
City ASHEBORO
State NC
ZIP 27203
Phone 336 633-1212
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director JIM SISTASIS

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