34D0241986 CLIA NUMBER - GREENVILLE PEDIATRIC SERVICES, INC

Laboratory Demographics

  • CLIA Code: 34D0241986
  • Facility Name: GREENVILLE PEDIATRIC SERVICES, INC
  • Facility Address: 300 BETHESDA DRIVE
    GREENVILLE, NC
    ZIP 27834
  • Facility Phone: (252) 752-7141
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: SHANNON B. KINLAW
  • NPI Number: 1679542971
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 34D0241986
LAB Type Physician Office
Facility Name GREENVILLE PEDIATRIC SERVICES, INC
Street 300 BETHESDA DRIVE
City GREENVILLE
State NC
ZIP 27834
Phone 2527527141
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 6/15/2024
Certificate Expiration Date 6/14/2026
Facility Type Physician Office
Lab Director SHANNON B. KINLAW

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This page was last updated on: 5/18/2026