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34D1094635 CLIA NUMBER - CAROLINAS PAIN INSTITUTE, PA

Laboratory Demographics

CLIA Number: 34D1094635

Facility Name: CAROLINAS PAIN INSTITUTE, PA

Facility Address:
145 KIMEL PARK, SUITE 330
WINSTON SALEM, NC
ZIP 27103
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Facility Phone Number: 336 765-6181

Facility Type: Physician Office

Certificate Type: Accreditation
NPI Number: 1427695477

Taxonomy: 332900000X - Non-Pharmacy Dispensing Site
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

CLIA Record

Field Name Field Value
CLIA Number 34D1094635
LAB Type Physician Office
Facility Name CAROLINAS PAIN INSTITUTE, PA
Street 145 KIMEL PARK, SUITE 330
City WINSTON SALEM
State NC
ZIP 27103
Phone 336 765-6181
CertificateType 1
CertificateEffectiveDate 7/11/2022
CertificateExpirationDate 7/10/2024
FacilityType Accreditation

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This page was last updated on: 4/23/2024