34D2071661 CLIA NUMBER - BETHANY MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 34D2071661
  • Facility Name: BETHANY MEDICAL CENTER
  • Facility Address: 495 ARBOR HILL ROAD SUITE M
    KERNERSVILLE, NC
    ZIP 27284
  • Facility Phone: 336 967-0846
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DAVONIA MICHAEL
  • NPI Number: 1508341736
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 34D2071661
LAB Type Physician Office
Facility Name BETHANY MEDICAL CENTER
Street 495 ARBOR HILL ROAD SUITE M
City KERNERSVILLE
State NC
ZIP 27284
Phone 336 967-0846
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 5/5/2023
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director DAVONIA MICHAEL

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