34D2148421 CLIA NUMBER - ANDREW BRADBURY, OD

Laboratory Demographics

  • CLIA Code: 34D2148421
  • Facility Name: ANDREW BRADBURY, OD
  • Facility Address: 120-B REYNOLDA VILLAGE
    WINSTON SALEM, NC
    ZIP 27106
  • Facility Phone: 336 701-6460
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: ANDREW W. BRADBURY
  • NPI Number: 1487063400
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 34D2148421
LAB Type Practitioner Other
Facility Name ANDREW BRADBURY, OD
Street 120-B REYNOLDA VILLAGE
City WINSTON SALEM
State NC
ZIP 27106
Phone 336 701-6460
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/10/2024
Certificate Expiration Date 5/9/2026
Facility Type Practitioner Other
Lab Director ANDREW W. BRADBURY

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