SECURE DIAGNOSTIC LABS LLC
NPI 1801672837
Clinical Medical Laboratory in Winston Salem, NC

Active since September 06, 2023CLIA 34D2289240 · Waiver
1540 WESTBROOK PLAZA DR STE B, WINSTON SALEM, NC 27103(743) 900-3306 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Secure Diagnostic Labs Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SECURE DIAGNOSTIC LABS LLC (NPI 1801672837) is a healthcare organization registered as a clinical medical laboratory in Winston Salem, North Carolina and active in the NPI registry since September 2023. The organization holds a CLIA Waiver certificate valid through April 23, 2028 and lists Ashantris Bass, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1801672837
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameSECURE DIAGNOSTIC LABS LLC
Location Address1540 WESTBROOK PLAZA DR STE BWinston Salem, NC 27103-1331
Mailing Address1039 Glenmont RdWinston Salem, NC 27107-1561 · (336) 403-3239
Organization SubpartNo
Authorized OfficialAshantris BassCeo/owner · (336) 403-3239
Enumeration DateSeptember 6, 2023
NPPES CertifiedSeptember 6, 2023
NPI 1801672837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition

(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

Also ListedTechnician, Pathology · Medical LaboratoryTaxonomy 246RM2200X
1540 WESTBROOK PLAZA DR STE B, Winston Salem, NC 27103

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2289240

Secure Diagnostic Screenings · Winston Salem, NC
Active · expires Apr 23, 2028
CLIA Number34D2289240
Laboratory TypeDiagnostic Lab
Certificate Effective DateApril 24, 2026
Certificate Expiration DateApril 23, 2028
Laboratory DirectorBass Ashantris Ll
Laboratory Phone(743) 900-3306
Laboratory LocationSecure Diagnostic Screenings8025 North Point Blvd Ste 152, Winston Salem, NC 27106
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Technician, Pathology (Medical Laboratory)
1540 WESTBROOK PLAZA DR STE B
WINSTON SALEM, NC 27103

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Secure Diagnostic Labs LLC's NPI number?

The NPI number for Secure Diagnostic Labs LLC is 1801672837. It was assigned to this organization in the NPPES registry on September 6, 2023.

Where is Secure Diagnostic Labs LLC located?

Secure Diagnostic Labs LLC is located at 1540 Westbrook Plaza Dr Ste B, Winston Salem, NC 27103. The listed phone number is (743) 900-3306.

What is Secure Diagnostic Labs LLC's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Secure Diagnostic Labs LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2289240) is associated with this NPI, valid through April 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Secure Diagnostic Labs LLC was last updated on September 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.