34D0240591 CLIA NUMBER - WHITE OAK PEDIATRIC ASSOCIATES, PA

Laboratory Demographics

  • CLIA Code: 34D0240591
  • Facility Name: WHITE OAK PEDIATRIC ASSOCIATES, PA
  • Facility Address: 4414 LAKE BOONE TRAIL SUITE 103
    RALEIGH, NC
    ZIP 27607
  • Facility Phone: 919 787-0266
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: MASON HE
  • NPI Number: 1891939286
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 34D0240591
LAB Type Physician Office
Facility Name WHITE OAK PEDIATRIC ASSOCIATES, PA
Street 4414 LAKE BOONE TRAIL SUITE 103
City RALEIGH
State NC
ZIP 27607
Phone 919 787-0266
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 1/31/2024
Certificate Expiration Date 1/30/2026
Facility Type Physician Office
Lab Director MASON HE

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