34D2074707 CLIA NUMBER - AHWFB PEDIATRICS- WESTBROOK

Laboratory Demographics

  • CLIA Code: 34D2074707
  • Facility Name: AHWFB PEDIATRICS- WESTBROOK
  • Facility Address: 1677 WESTBROOK PLAZA DRIVE SUITE 110
    WINSTON-SALEM, NC
    ZIP 27103
  • Facility Phone: 336 713-0024
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID J. RHYNE
  • NPI Number: 1043781990
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 34D2074707
LAB Type Physician Office
Facility Name AHWFB PEDIATRICS- WESTBROOK
Street 1677 WESTBROOK PLAZA DRIVE SUITE 110
City WINSTON-SALEM
State NC
ZIP 27103
Phone 336 713-0024
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/1/2024
Certificate Expiration Date 11/30/2026
Facility Type Physician Office
Lab Director DAVID J. RHYNE

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