34D1030592 CLIA NUMBER - PIEDMONT COSMETIC SURGERY & DERMATOLOGY CENTER

Laboratory Demographics

  • CLIA Code: 34D1030592
  • Facility Name: PIEDMONT COSMETIC SURGERY & DERMATOLOGY CENTER
  • Facility Address: 1915 WEST PARK DRIVE SUITE 108
    NORTH WILKESBORO, NC
    ZIP 28659
  • Facility Phone: 336 760-4004
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DAVID M. SPENCER
  • NPI Number: 1528104460
  • Taxonomy: 261QL0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D1030592
LAB Type Physician Office
Facility Name PIEDMONT COSMETIC SURGERY & DERMATOLOGY CENTER
Street 1915 WEST PARK DRIVE SUITE 108
City NORTH WILKESBORO
State NC
ZIP 28659
Phone 336 760-4004
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 12/8/2023
Certificate Expiration Date 12/7/2025
Facility Type Physician Office
Lab Director DAVID M. SPENCER

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