34D2299133 CLIA NUMBER - PREMISE HEALTH OF NORTH CAROLINA, PC

Laboratory Demographics

  • CLIA Code: 34D2299133
  • Facility Name: PREMISE HEALTH OF NORTH CAROLINA, PC
  • Facility Address: 2599 EMPIRE DR
    WINSTON-SALEM, NC
    ZIP 27103
  • Facility Phone: 336 341-8461
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LAURA BAYNE
  • NPI Number: 1093267411
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D2299133
LAB Type Physician Office
Facility Name PREMISE HEALTH OF NORTH CAROLINA, PC
Street 2599 EMPIRE DR
City WINSTON-SALEM
State NC
ZIP 27103
Phone 336 341-8461
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2024
Certificate Expiration Date 2/13/2026
Facility Type Physician Office
Lab Director LAURA BAYNE

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