34D2297884 CLIA NUMBER - NOVANT HEALTH KERNERSVILLE MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 34D2297884
  • Facility Name: NOVANT HEALTH KERNERSVILLE MEDICAL CENTER
  • Facility Address: 1750 KERNERSVILLE MEDICAL PARKWAY
    KERNERSVILLE, NC
    ZIP 27284
  • Facility Phone: 336 402-7105
  • Facility Type: Hospital
  • Facility Type: Microscopy
  • Lab Director: DR. JALEEMA SPEAKS
  • NPI Number: 1881933992
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D2297884
LAB Type Hospital
Facility Name NOVANT HEALTH KERNERSVILLE MEDICAL CENTER
Street 1750 KERNERSVILLE MEDICAL PARKWAY
City KERNERSVILLE
State NC
ZIP 27284
Phone 336 402-7105
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 1/24/2024
Certificate Expiration Date 1/23/2026
Facility Type Hospital
Lab Director DR. JALEEMA SPEAKS

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