34D0241278 CLIA NUMBER - REGIONAL PEDIATRIC ASSOCIATES

Laboratory Demographics

  • CLIA Code: 34D0241278
  • Facility Name: REGIONAL PEDIATRIC ASSOCIATES
  • Facility Address: 4022 FREEDOM LAKE DRIVE
    DURHAM, NC
    ZIP 27704
  • Facility Phone: 919 477-1465
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VIVIAN O. MAKAR
  • NPI Number: 1962848721
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 34D0241278
LAB Type Physician Office
Facility Name REGIONAL PEDIATRIC ASSOCIATES
Street 4022 FREEDOM LAKE DRIVE
City DURHAM
State NC
ZIP 27704
Phone 919 477-1465
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/1/2025
Certificate Expiration Date 12/31/2026
Facility Type Physician Office
Lab Director VIVIAN O. MAKAR

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