34D2141664 CLIA NUMBER - CHALLIE MINTON, MD

Laboratory Demographics

  • CLIA Code: 34D2141664
  • Facility Name: CHALLIE MINTON, MD
  • Facility Address: 113 SCENIC OUTLET LANE
    MOUNT AIRY, NC
    ZIP 27030
  • Facility Phone: 336 352-4900
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CHALLIE A. MINTON
  • NPI Number: 1831392174
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D2141664
LAB Type Physician Office
Facility Name CHALLIE MINTON, MD
Street 113 SCENIC OUTLET LANE
City MOUNT AIRY
State NC
ZIP 27030
Phone 336 352-4900
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 12/19/2023
Certificate Expiration Date 12/18/2025
Facility Type Physician Office
Lab Director CHALLIE A. MINTON

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