34D2160717 CLIA NUMBER - MEDIQ URGENT CARE

Laboratory Demographics

  • CLIA Code: 34D2160717
  • Facility Name: MEDIQ URGENT CARE
  • Facility Address: 12201 NC-150, SUITE 11
    WINSTON-SALEM, NC
    ZIP 27127
  • Facility Phone: 336 739-1691
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: ZAINAB QAYUMI
  • NPI Number: 1801453089
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D2160717
LAB Type Other - URGENT CARE
Facility Name MEDIQ URGENT CARE
Street 12201 NC-150, SUITE 11
City WINSTON-SALEM
State NC
ZIP 27127
Phone 336 739-1691
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2025
Certificate Expiration Date 1/16/2027
Facility Type Other - URGENT CARE
Lab Director ZAINAB QAYUMI

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