34D2095298 CLIA NUMBER - PREMIER SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 34D2095298
  • Facility Name: PREMIER SURGERY CENTER
  • Facility Address: 4515 PREMIER DRIVE, SUITE 102
    HIGH POINT, NC
    ZIP 27265
  • Facility Phone: 336 878-6328
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JASON FANCEY
  • NPI Number: 1366868572
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D2095298
LAB Type Ambulatory Surgery Center
Facility Name PREMIER SURGERY CENTER
Street 4515 PREMIER DRIVE, SUITE 102
City HIGH POINT
State NC
ZIP 27265
Phone 336 878-6328
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/5/2025
Certificate Expiration Date 5/4/2027
Facility Type Ambulatory Surgery Center
Lab Director JASON FANCEY

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