34D2322190 CLIA NUMBER - PRUITTPLACE - WINSTON SALEM, LLC

Laboratory Demographics

  • CLIA Code: 34D2322190
  • Facility Name: PRUITTPLACE - WINSTON SALEM, LLC
  • Facility Address: 2500 POLO RIDGE COURT
    WINSTON-SALEM, NC
    ZIP 27106
  • Facility Phone: 770 279-6200
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JOSHUA JAMES
  • NPI Number: 1427862853
  • Taxonomy: 310400000X - Assisted Living Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 34D2322190
LAB Type Assisted Living Facility
Facility Name PRUITTPLACE - WINSTON SALEM, LLC
Street 2500 POLO RIDGE COURT
City WINSTON-SALEM
State NC
ZIP 27106
Phone 770 279-6200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/16/2025
Certificate Expiration Date 4/15/2027
Facility Type Assisted Living Facility
Lab Director JOSHUA JAMES

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: 9/29/2025