34D1036729 CLIA NUMBER - EAGLE INTERNAL MEDICINE AT TANNENBAUM

Laboratory Demographics

  • CLIA Code: 34D1036729
  • Facility Name: EAGLE INTERNAL MEDICINE AT TANNENBAUM
  • Facility Address: 301 E WENDOVER AVENUE, SUITE 200
    GREENSBORO, NC
    ZIP 27401
  • Facility Phone: 336 274-3241
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFFREY S. KERR
  • NPI Number: 1457423907
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 34D1036729
LAB Type Physician Office
Facility Name EAGLE INTERNAL MEDICINE AT TANNENBAUM
Street 301 E WENDOVER AVENUE, SUITE 200
City GREENSBORO
State NC
ZIP 27401
Phone 336 274-3241
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2025
Certificate Expiration Date 2/7/2027
Facility Type Physician Office
Lab Director JEFFREY S. KERR

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