34D2179666 CLIA NUMBER - ATRIUM HEALTH WAKE FOREST BAPTIST CLINIC AT ASHLEY FURNITURE

Laboratory Demographics

  • CLIA Code: 34D2179666
  • Facility Name: ATRIUM HEALTH WAKE FOREST BAPTIST CLINIC AT ASHLEY FURNITURE
  • Facility Address: 132 ASHLEY FURNITURE WAY
    ADVANCE, NC
    ZIP 27006
  • Facility Phone: 336 486-0167
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: STEVEN J. HAGEN
  • NPI Number: 1437802303
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 34D2179666
LAB Type Practitioner Other
Facility Name ATRIUM HEALTH WAKE FOREST BAPTIST CLINIC AT ASHLEY FURNITURE
Street 132 ASHLEY FURNITURE WAY
City ADVANCE
State NC
ZIP 27006
Phone 336 486-0167
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/27/2024
Certificate Expiration Date 2/26/2026
Facility Type Practitioner Other
Lab Director STEVEN J. HAGEN

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