34D2098808 CLIA NUMBER - MOUNT EAGLE COLLEGE

Laboratory Demographics

  • CLIA Code: 34D2098808
  • Facility Name: MOUNT EAGLE COLLEGE
  • Facility Address: 4025 UNIVERSITY PARKWAY, #100
    WINSTON-SALEM, NC
    ZIP 27106
  • Facility Phone: 336 776-0357
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: DENISE A. MATTHEWS
  • NPI Number: 1326313537
  • Taxonomy: 251J00000X - Nursing Care

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CLIA Record

Field Name Field Value
CLIA Number 34D2098808
LAB Type School/Student Health Service
Facility Name MOUNT EAGLE COLLEGE
Street 4025 UNIVERSITY PARKWAY, #100
City WINSTON-SALEM
State NC
ZIP 27106
Phone 336 776-0357
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/15/2025
Certificate Expiration Date 7/14/2027
Facility Type School/Student Health Service
Lab Director DENISE A. MATTHEWS

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