34D1048037 CLIA NUMBER - ALEXANDER YOUTH NETWORK - EASTSIDE CAMPUS

Laboratory Demographics

  • CLIA Code: 34D1048037
  • Facility Name: ALEXANDER YOUTH NETWORK - EASTSIDE CAMPUS
  • Facility Address: 1601 HUFFINE MILL RD
    GREENSBORO, NC
    ZIP 27405
  • Facility Phone: 336 375-8333
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: BUDDY L. PLUMMER
  • NPI Number: 1740840990
  • Taxonomy: 323P00000X - Psychiatric Residential Treatment Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 34D1048037
LAB Type Other
Facility Name ALEXANDER YOUTH NETWORK - EASTSIDE CAMPUS
Street 1601 HUFFINE MILL RD
City GREENSBORO
State NC
ZIP 27405
Phone 336 375-8333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/21/2023
Certificate Expiration Date 11/20/2025
Facility Type Other
Lab Director BUDDY L. PLUMMER

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