34D2241980 CLIA NUMBER - PREVENTATIVE WELLNESS SOLUTIONS I, PLLC

Laboratory Demographics

  • CLIA Code: 34D2241980
  • Facility Name: PREVENTATIVE WELLNESS SOLUTIONS I, PLLC
  • Facility Address: 4446 US HIGHWAY 220 NORTH SUITE E
    SUMMERFIELD, NC
    ZIP 27358
  • Facility Phone: 336 290-6669
  • Facility Type: Other - MEDICAL WEIGHT LOSS
  • Facility Type: Waiver
  • Lab Director: STACEY HEALD
  • NPI Number: 1922712793
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D2241980
LAB Type Other - MEDICAL WEIGHT LOSS
Facility Name PREVENTATIVE WELLNESS SOLUTIONS I, PLLC
Street 4446 US HIGHWAY 220 NORTH SUITE E
City SUMMERFIELD
State NC
ZIP 27358
Phone 336 290-6669
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2023
Certificate Expiration Date 11/2/2025
Facility Type Other - MEDICAL WEIGHT LOSS
Lab Director STACEY HEALD

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