34D2308693 CLIA NUMBER - ATRIUM HEALTH EXECUTIVE CONCIERGE CARE AND CONCIERGE CARE

Laboratory Demographics

  • CLIA Code: 34D2308693
  • Facility Name: ATRIUM HEALTH EXECUTIVE CONCIERGE CARE AND CONCIERGE CARE
  • Facility Address: 4614 COUNTRY CLUB RD
    WINSTON-SALEM, NC
    ZIP 27103
  • Facility Phone: 336 713-0967
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WILLIAM Y. RICE III
  • NPI Number: 1265679179
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 34D2308693
LAB Type Physician Office
Facility Name ATRIUM HEALTH EXECUTIVE CONCIERGE CARE AND CONCIERGE CARE
Street 4614 COUNTRY CLUB RD
City WINSTON-SALEM
State NC
ZIP 27103
Phone 336 713-0967
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/1/2024
Certificate Expiration Date 7/31/2026
Facility Type Physician Office
Lab Director WILLIAM Y. RICE III

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