34D2307240 CLIA NUMBER - NORTH CAROLINA GENERAL MANAGEMENT LLC

Laboratory Demographics

  • CLIA Code: 34D2307240
  • Facility Name: NORTH CAROLINA GENERAL MANAGEMENT LLC
  • Facility Address: 3051 WAUGHTOWN ST
    WINSTON-SALEM, NC
    ZIP 27107
  • Facility Phone: (336) 726-5090
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSE FLORES
  • NPI Number: 1003649047
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D2307240
LAB Type Physician Office
Facility Name NORTH CAROLINA GENERAL MANAGEMENT LLC
Street 3051 WAUGHTOWN ST
City WINSTON-SALEM
State NC
ZIP 27107
Phone 3367265090
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/3/2024
Certificate Expiration Date 7/2/2026
Facility Type Physician Office
Lab Director JOSE FLORES

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This page was last updated on: 6/29/2026