34D2264981 CLIA NUMBER - CENTER FOR INTEGRATED MEDICINE, THE

Laboratory Demographics

  • CLIA Code: 34D2264981
  • Facility Name: CENTER FOR INTEGRATED MEDICINE, THE
  • Facility Address: 3822 NORTH ELM STREET - SUITE 102
    GREENSBORO, NC
    ZIP 27455
  • Facility Phone: 336 541-8120
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: OLUGBEMIGA JEGEDE
  • NPI Number: 1194481416
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D2264981
LAB Type Physician Office
Facility Name CENTER FOR INTEGRATED MEDICINE, THE
Street 3822 NORTH ELM STREET - SUITE 102
City GREENSBORO
State NC
ZIP 27455
Phone 336 541-8120
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2024
Certificate Expiration Date 7/20/2026
Facility Type Physician Office
Lab Director OLUGBEMIGA JEGEDE

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This page was last updated on: 3/20/2025