34D1038367 CLIA NUMBER - MOSES CONE SURGERY CTR-WAIVED

Laboratory Demographics

  • CLIA Code: 34D1038367
  • Facility Name: MOSES CONE SURGERY CTR-WAIVED
  • Facility Address: 1127 NORTH CHURCH ST
    GREENSBORO, NC
    ZIP 27401
  • Facility Phone: 336 832-8586
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: KIMBERLY L. BALLISTER
  • NPI Number: 1295134948
  • Taxonomy: 2086S0129X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 34D1038367
LAB Type Ambulatory Surgery Center
Facility Name MOSES CONE SURGERY CTR-WAIVED
Street 1127 NORTH CHURCH ST
City GREENSBORO
State NC
ZIP 27401
Phone 336 832-8586
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/17/2025
Certificate Expiration Date 3/16/2027
Facility Type Ambulatory Surgery Center
Lab Director KIMBERLY L. BALLISTER

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