34D2136088 CLIA NUMBER - FORSYTH PSYCHIATRIC ASSOCIATES, PLLC

Laboratory Demographics

  • CLIA Code: 34D2136088
  • Facility Name: FORSYTH PSYCHIATRIC ASSOCIATES, PLLC
  • Facility Address: 2554 LEWISVILLE - CLEMMONS ROAD, SUITE 209
    CLEMMONS, NC
    ZIP 27012
  • Facility Phone: 336 660-6000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SOPHIA YUAN
  • NPI Number: 1326575994
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 34D2136088
LAB Type Physician Office
Facility Name FORSYTH PSYCHIATRIC ASSOCIATES, PLLC
Street 2554 LEWISVILLE - CLEMMONS ROAD, SUITE 209
City CLEMMONS
State NC
ZIP 27012
Phone 336 660-6000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2025
Certificate Expiration Date 8/31/2027
Facility Type Physician Office
Lab Director SOPHIA YUAN

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