34D2261379 CLIA NUMBER - CAREOLINA WELLNESS & INFUSION CENTER

Laboratory Demographics

  • CLIA Code: 34D2261379
  • Facility Name: CAREOLINA WELLNESS & INFUSION CENTER
  • Facility Address: 1332 WESTGATE CENTER DRIVE
    WINSTON SALEM, NC
    ZIP 27103
  • Facility Phone: 336 413-4275
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: STACEY BRICKELL
  • NPI Number: 1811042401
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 34D2261379
LAB Type Practitioner Other
Facility Name CAREOLINA WELLNESS & INFUSION CENTER
Street 1332 WESTGATE CENTER DRIVE
City WINSTON SALEM
State NC
ZIP 27103
Phone 336 413-4275
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/31/2024
Certificate Expiration Date 5/30/2026
Facility Type Practitioner Other
Lab Director STACEY BRICKELL

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