34D2144715 CLIA NUMBER - FUTUREMED EVENING CLINIC PLLC

Laboratory Demographics

  • CLIA Code: 34D2144715
  • Facility Name: FUTUREMED EVENING CLINIC PLLC
  • Facility Address: 2203 C BOULEVARD STREET
    GREENSBORO, NC
    ZIP 27407
  • Facility Phone: 336 579-8328
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DWIGHT M. WILLIAMS
  • NPI Number: 1194233403
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D2144715
LAB Type Physician Office
Facility Name FUTUREMED EVENING CLINIC PLLC
Street 2203 C BOULEVARD STREET
City GREENSBORO
State NC
ZIP 27407
Phone 336 579-8328
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2024
Certificate Expiration Date 2/21/2026
Facility Type Physician Office
Lab Director DWIGHT M. WILLIAMS

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