34D1050134 CLIA NUMBER - SUMMIT FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 34D1050134
  • Facility Name: SUMMIT FAMILY MEDICINE
  • Facility Address: 515 WEST SALISBURY STREET, SUITE D
    ASHEBORO, NC
    ZIP 27203
  • Facility Phone: 336 626-6696
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PAMELA A. PENNER
  • NPI Number: 1316128580
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D1050134
LAB Type Physician Office
Facility Name SUMMIT FAMILY MEDICINE
Street 515 WEST SALISBURY STREET, SUITE D
City ASHEBORO
State NC
ZIP 27203
Phone 336 626-6696
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/26/2024
Certificate Expiration Date 1/25/2026
Facility Type Physician Office
Lab Director PAMELA A. PENNER

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