34D2288188 CLIA NUMBER - WAKE FOREST BAPTIST IMAGING FRIENDLY CENTER

Laboratory Demographics

  • CLIA Code: 34D2288188
  • Facility Name: WAKE FOREST BAPTIST IMAGING FRIENDLY CENTER
  • Facility Address: 3120 NORTHLINE AVENUE, SUITE 101
    GREENSBORO, NC
    ZIP 27408
  • Facility Phone: 336 765-5722
  • Facility Type: Other - OUTPATIENT IMAGING CLINIC
  • Facility Type: Waiver
  • Lab Director: ANITA MORGAN
  • NPI Number: 1972763357
  • Taxonomy: 2085R0202X - Radiology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 34D2288188
LAB Type Other - OUTPATIENT IMAGING CLINIC
Facility Name WAKE FOREST BAPTIST IMAGING FRIENDLY CENTER
Street 3120 NORTHLINE AVENUE, SUITE 101
City GREENSBORO
State NC
ZIP 27408
Phone 336 765-5722
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2023
Certificate Expiration Date 8/22/2025
Facility Type Other - OUTPATIENT IMAGING CLINIC
Lab Director ANITA MORGAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 6/4/2025