34D0239531 CLIA NUMBER - WESTERN WAKE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 34D0239531
  • Facility Name: WESTERN WAKE PEDIATRICS
  • Facility Address: 940 SOUTHEAST CARY PARKWAY STE 200
    CARY, NC
    ZIP 27518
  • Facility Phone: 919 859-9991
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EMILY A. HANNON
  • NPI Number: 1942251251
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 34D0239531
LAB Type Physician Office
Facility Name WESTERN WAKE PEDIATRICS
Street 940 SOUTHEAST CARY PARKWAY STE 200
City CARY
State NC
ZIP 27518
Phone 919 859-9991
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/1/2025
Certificate Expiration Date 7/31/2027
Facility Type Physician Office
Lab Director EMILY A. HANNON

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