34D2003715 CLIA NUMBER - ALPHA PRIMARY CARE, PA

Laboratory Demographics

  • CLIA Code: 34D2003715
  • Facility Name: ALPHA PRIMARY CARE, PA
  • Facility Address: 2325 RANDLEMAN ROAD
    GREENSBORO, NC
    ZIP 27406
  • Facility Phone: 336 617-2377
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EDWIN A. AVBUERE
  • NPI Number: 1518283613
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D2003715
LAB Type Physician Office
Facility Name ALPHA PRIMARY CARE, PA
Street 2325 RANDLEMAN ROAD
City GREENSBORO
State NC
ZIP 27406
Phone 336 617-2377
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/17/2024
Certificate Expiration Date 2/16/2026
Facility Type Physician Office
Lab Director EDWIN A. AVBUERE

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