34D1078139 CLIA NUMBER - PALLADIUM PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 34D1078139
  • Facility Name: PALLADIUM PRIMARY CARE
  • Facility Address: 3750 ADMIRAL DRIVE, SUITE 101
    HIGH POINT, NC
    ZIP 27265
  • Facility Phone: 336 841-8500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GEORGE OSEI-BONSU
  • NPI Number: 1699047514
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D1078139
LAB Type Physician Office
Facility Name PALLADIUM PRIMARY CARE
Street 3750 ADMIRAL DRIVE, SUITE 101
City HIGH POINT
State NC
ZIP 27265
Phone 336 841-8500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/11/2025
Certificate Expiration Date 2/10/2027
Facility Type Physician Office
Lab Director GEORGE OSEI-BONSU

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