34D2167440 CLIA NUMBER - WAKE FOREST BAPTIST HEALTH - BIRTH CENTER, THE

Laboratory Demographics

  • CLIA Code: 34D2167440
  • Facility Name: WAKE FOREST BAPTIST HEALTH - BIRTH CENTER, THE
  • Facility Address: 1 MEDICAL CENTER BOULEVARD
    WINSTON-SALEM, NC
    ZIP 27157
  • Facility Phone: 336 713-4285
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Microscopy
  • Lab Director: JOSHUA F. NITSCHE
  • NPI Number: 1396216735
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D2167440
LAB Type Ancillary Testing Site in Health Care Center
Facility Name WAKE FOREST BAPTIST HEALTH - BIRTH CENTER, THE
Street 1 MEDICAL CENTER BOULEVARD
City WINSTON-SALEM
State NC
ZIP 27157
Phone 336 713-4285
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 6/7/2025
Certificate Expiration Date 6/6/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director JOSHUA F. NITSCHE

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