34D2089167 CLIA NUMBER - NOVANT HEALTH IRONWOOD FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 34D2089167
  • Facility Name: NOVANT HEALTH IRONWOOD FAMILY MEDICINE
  • Facility Address: 6316 OLD OAK RIDGE ROAD, SUITE E
    GREENSBORO, NC
    ZIP 27410
  • Facility Phone: 336 605-1337
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRENDA L. MANFREDI
  • NPI Number: 1518398098
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D2089167
LAB Type Physician Office
Facility Name NOVANT HEALTH IRONWOOD FAMILY MEDICINE
Street 6316 OLD OAK RIDGE ROAD, SUITE E
City GREENSBORO
State NC
ZIP 27410
Phone 336 605-1337
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/24/2024
Certificate Expiration Date 1/23/2026
Facility Type Physician Office
Lab Director BRENDA L. MANFREDI

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