34D2080534 CLIA NUMBER - NOVANT HEALTH WOUND CARE AND HYPERBARIC MEDICINE

Laboratory Demographics

  • CLIA Code: 34D2080534
  • Facility Name: NOVANT HEALTH WOUND CARE AND HYPERBARIC MEDICINE
  • Facility Address: 1901 SOUTH HAWTHORNE ROAD, SUITE 220
    WINSTON-SALEM, NC
    ZIP 27103
  • Facility Phone: 336 718-6777
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MITCHELL M. SOMMA
  • NPI Number: 1255755963
  • Taxonomy: 207RI0200X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D2080534
LAB Type Physician Office
Facility Name NOVANT HEALTH WOUND CARE AND HYPERBARIC MEDICINE
Street 1901 SOUTH HAWTHORNE ROAD, SUITE 220
City WINSTON-SALEM
State NC
ZIP 27103
Phone 336 718-6777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2024
Certificate Expiration Date 7/8/2026
Facility Type Physician Office
Lab Director MITCHELL M. SOMMA

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This page was last updated on: 6/4/2025