34D0240198 CLIA NUMBER - JOHNSTON COUNTY PEDIATRICS

Laboratory Demographics

  • CLIA Code: 34D0240198
  • Facility Name: JOHNSTON COUNTY PEDIATRICS
  • Facility Address: 11 BERKSHIRE RD
    SMITHFIELD, NC
    ZIP 27577
  • Facility Phone: 919 934-0564
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SALLY L. CARPENTER MD
  • NPI Number: 1255499752
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 34D0240198
LAB Type Physician Office
Facility Name JOHNSTON COUNTY PEDIATRICS
Street 11 BERKSHIRE RD
City SMITHFIELD
State NC
ZIP 27577
Phone 919 934-0564
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2024
Certificate Expiration Date 12/11/2026
Facility Type Physician Office
Lab Director SALLY L. CARPENTER MD

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