34D1068002 CLIA NUMBER - HEADACHE WELLNESS CENTER

Laboratory Demographics

  • CLIA Code: 34D1068002
  • Facility Name: HEADACHE WELLNESS CENTER
  • Facility Address: 1414 YANCEYVILLE ST
    GREENSBORO, NC
    ZIP 27405
  • Facility Phone: 336 574-8000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARSHALL C. FREEMAN MD
  • NPI Number: 1811086242
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 34D1068002
LAB Type Physician Office
Facility Name HEADACHE WELLNESS CENTER
Street 1414 YANCEYVILLE ST
City GREENSBORO
State NC
ZIP 27405
Phone 336 574-8000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/1/2025
Certificate Expiration Date 4/30/2027
Facility Type Physician Office
Lab Director MARSHALL C. FREEMAN MD

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