34D2271624 CLIA NUMBER - REDEFINED FOR HER

Laboratory Demographics

  • CLIA Code: 34D2271624
  • Facility Name: REDEFINED FOR HER
  • Facility Address: 510 N ELAM AVE SUITE 303
    GREENSBORO, NC
    ZIP 27403
  • Facility Phone: 336 317-7506
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. SANDRA A. RIVARD
  • NPI Number: 1487388690
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 34D2271624
LAB Type Physician Office
Facility Name REDEFINED FOR HER
Street 510 N ELAM AVE SUITE 303
City GREENSBORO
State NC
ZIP 27403
Phone 336 317-7506
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 11/4/2024
Certificate Expiration Date 11/3/2026
Facility Type Physician Office
Lab Director DR. SANDRA A. RIVARD

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