34D2137551 CLIA NUMBER - WF AMB VENTURES LLC DBA AHWFB SURG CTR CLEMMONS

Laboratory Demographics

  • CLIA Code: 34D2137551
  • Facility Name: WF AMB VENTURES LLC DBA AHWFB SURG CTR CLEMMONS
  • Facility Address: 6441 KINNAMON COURT
    WINSTON-SALEM, NC
    ZIP 27103
  • Facility Phone: 336 390-1351
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SUSAN R. VISHNESKI
  • NPI Number: 1225568884
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D2137551
LAB Type Ambulatory Surgery Center
Facility Name WF AMB VENTURES LLC DBA AHWFB SURG CTR CLEMMONS
Street 6441 KINNAMON COURT
City WINSTON-SALEM
State NC
ZIP 27103
Phone 336 390-1351
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2025
Certificate Expiration Date 9/28/2027
Facility Type Ambulatory Surgery Center
Lab Director SUSAN R. VISHNESKI

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