34D1080768 CLIA NUMBER - WINSTON-SALEM DERMATOLOGY & SURGERY CENTER, PLLC

Laboratory Demographics

  • CLIA Code: 34D1080768
  • Facility Name: WINSTON-SALEM DERMATOLOGY & SURGERY CENTER, PLLC
  • Facility Address: 1400 WESTGATE CENTER DRIVE, SUITE 200
    WINSTON-SALEM, NC
    ZIP 27103
  • Facility Phone: 336 774-8636
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CHRISTINE YUENGEL-BIENENFELD
  • NPI Number: 1073549150
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 34D1080768
LAB Type Physician Office
Facility Name WINSTON-SALEM DERMATOLOGY & SURGERY CENTER, PLLC
Street 1400 WESTGATE CENTER DRIVE, SUITE 200
City WINSTON-SALEM
State NC
ZIP 27103
Phone 336 774-8636
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 11/1/2024
Certificate Expiration Date 10/31/2026
Facility Type Physician Office
Lab Director CHRISTINE YUENGEL-BIENENFELD

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