34D2175126 CLIA NUMBER - SPRINGWELL NETWORK, INC

Laboratory Demographics

CLIA Code: 34D2175126
Facility Name: SPRINGWELL NETWORK, INC
Facility Address: 3820 N PATTERSON AVENUE
WINSTON-SALEM, NC
ZIP 27105
Facility Phone: 336 661-7788
Facility Type: Other - GROUP HOME
Facility Type: Waiver
Lab Director: CHARLENE WARREN
NPI Number: 1083705032
Taxonomy: 320600000X - Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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CLIA Record

Field Name	Field Value
CLIA Number	34D2175126
LAB Type	Other - GROUP HOME
Facility Name	SPRINGWELL NETWORK, INC
Street	3820 N PATTERSON AVENUE
City	WINSTON-SALEM
State	NC
ZIP	27105
Phone	336 661-7788
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	11/15/2023
Certificate Expiration Date	11/14/2025
Facility Type	Other - GROUP HOME
Lab Director	CHARLENE WARREN

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