34D2041328 CLIA NUMBER - AHWFB DIABETES & ENDOCRINOLOGY CENTER- COUNTRY CLUB

Laboratory Demographics

  • CLIA Code: 34D2041328
  • Facility Name: AHWFB DIABETES & ENDOCRINOLOGY CENTER- COUNTRY CLUB
  • Facility Address: 2ND FLOOR, 4610 COUNTRY CLUB ROAD
    WINSTON SALEM, NC
    ZIP 27104
  • Facility Phone: 336 716-5077
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH A. ALOI
  • NPI Number: 1245821875
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 34D2041328
LAB Type Physician Office
Facility Name AHWFB DIABETES & ENDOCRINOLOGY CENTER- COUNTRY CLUB
Street 2ND FLOOR, 4610 COUNTRY CLUB ROAD
City WINSTON SALEM
State NC
ZIP 27104
Phone 336 716-5077
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2024
Certificate Expiration Date 5/20/2026
Facility Type Physician Office
Lab Director JOSEPH A. ALOI

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