34D2193265 CLIA NUMBER - TRIAD CENTER FOR SURGERY, LLC DBA KIMEL PARK SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 34D2193265
  • Facility Name: TRIAD CENTER FOR SURGERY, LLC DBA KIMEL PARK SURGERY CENTER
  • Facility Address: 180 KIMEL PARK DRIVE SUITE 200
    WINSTON SALEM, NC
    ZIP 27103
  • Facility Phone: 336 607-6610
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JULIE MORRIS
  • NPI Number: 1558983833
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D2193265
LAB Type Ambulatory Surgery Center
Facility Name TRIAD CENTER FOR SURGERY, LLC DBA KIMEL PARK SURGERY CENTER
Street 180 KIMEL PARK DRIVE SUITE 200
City WINSTON SALEM
State NC
ZIP 27103
Phone 336 607-6610
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2024
Certificate Expiration Date 9/17/2026
Facility Type Ambulatory Surgery Center
Lab Director JULIE MORRIS

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