34D2157217 CLIA NUMBER - BETHANY MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 34D2157217
  • Facility Name: BETHANY MEDICAL CENTER
  • Facility Address: 5093 UNIVERSITY PARKWAY
    WINSTON-SALEM, NC
    ZIP 27106
  • Facility Phone: 336 883-0029
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FERANDO SANCHEZ
  • NPI Number: 1952404188
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D2157217
LAB Type Physician Office
Facility Name BETHANY MEDICAL CENTER
Street 5093 UNIVERSITY PARKWAY
City WINSTON-SALEM
State NC
ZIP 27106
Phone 336 883-0029
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2024
Certificate Expiration Date 10/31/2026
Facility Type Physician Office
Lab Director FERANDO SANCHEZ

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