34D1053042 CLIA NUMBER - GENERATIONS FAMILY PRACTICE DBA TRIAD PRIMARY CARE, LLC

Laboratory Demographics

  • CLIA Code: 34D1053042
  • Facility Name: GENERATIONS FAMILY PRACTICE DBA TRIAD PRIMARY CARE, LLC
  • Facility Address: 1309 LEES CHAPEL ROAD
    GREENSBORO, NC
    ZIP 27455
  • Facility Phone: 336 286-5505
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANDREW O. CHOW
  • NPI Number: 1285205708
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D1053042
LAB Type Physician Office
Facility Name GENERATIONS FAMILY PRACTICE DBA TRIAD PRIMARY CARE, LLC
Street 1309 LEES CHAPEL ROAD
City GREENSBORO
State NC
ZIP 27455
Phone 336 286-5505
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/4/2024
Certificate Expiration Date 5/3/2026
Facility Type Physician Office
Lab Director ANDREW O. CHOW

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