34D1059482 CLIA NUMBER - GREENSBORO IMAGING AT WEST WENDOVER

Laboratory Demographics

  • CLIA Code: 34D1059482
  • Facility Name: GREENSBORO IMAGING AT WEST WENDOVER
  • Facility Address: 315 WEST WENDOVER AVENUE
    GREENSBORO, NC
    ZIP 27408
  • Facility Phone: 336 433-5019
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HETAL P. PATEL
  • NPI Number: 1992736326
  • Taxonomy: 2085R0202X - Radiology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 34D1059482
LAB Type Physician Office
Facility Name GREENSBORO IMAGING AT WEST WENDOVER
Street 315 WEST WENDOVER AVENUE
City GREENSBORO
State NC
ZIP 27408
Phone 336 433-5019
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/8/2024
Certificate Expiration Date 1/7/2026
Facility Type Physician Office
Lab Director HETAL P. PATEL

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