34D2251437 CLIA NUMBER - TRUEBIO INNOVATIVE HEALTH & WELLNESS

Laboratory Demographics

CLIA Number: 34D2251437

Facility Name: TRUEBIO INNOVATIVE HEALTH & WELLNESS

Facility Address:
150 CHARLOIS BLVD SUITE 100
WINSTON-SALEM, NC
ZIP 27103
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Facility Phone Number: 336 999-3311

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1073181855

Taxonomy: 363LP2300X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	34D2251437
LAB Type	Physician Office
Facility Name	TRUEBIO INNOVATIVE HEALTH & WELLNESS
Street	150 CHARLOIS BLVD SUITE 100
City	WINSTON-SALEM
State	NC
ZIP	27103
Phone	336 999-3311
CertificateType	4
CertificateEffectiveDate	2/3/2024
CertificateExpirationDate	2/2/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024