34D2266685 CLIA NUMBER - PATHWAYS TO SELF - RELIANCE, INC

Laboratory Demographics

  • CLIA Code: 34D2266685
  • Facility Name: PATHWAYS TO SELF - RELIANCE, INC
  • Facility Address: 8025 NORTH POINT BLVD, STE 283
    WINSTON SALEM, NC
    ZIP 27106
  • Facility Phone: 336 954-6197
  • Facility Type: Other - MENTAL HEALTH SUBSTANCE U
  • Facility Type: Waiver
  • Lab Director: CRYSTAL S. GRAHAM
  • NPI Number: 1235876988
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 34D2266685
LAB Type Other - MENTAL HEALTH SUBSTANCE U
Facility Name PATHWAYS TO SELF - RELIANCE, INC
Street 8025 NORTH POINT BLVD, STE 283
City WINSTON SALEM
State NC
ZIP 27106
Phone 336 954-6197
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2024
Certificate Expiration Date 8/14/2026
Facility Type Other - MENTAL HEALTH SUBSTANCE U
Lab Director CRYSTAL S. GRAHAM

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