34D0242389 CLIA NUMBER - EASTERN CAROLINA PEDIATRICS

Laboratory Demographics

  • CLIA Code: 34D0242389
  • Facility Name: EASTERN CAROLINA PEDIATRICS
  • Facility Address: 1702 MEDICAL PARK DRIVE
    WILSON, NC
    ZIP 27893
  • Facility Phone: 252 243-7944
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. SUSAN ANDERSEN
  • NPI Number: 1073693347
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 34D0242389
LAB Type Physician Office
Facility Name EASTERN CAROLINA PEDIATRICS
Street 1702 MEDICAL PARK DRIVE
City WILSON
State NC
ZIP 27893
Phone 252 243-7944
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 11/11/2024
Certificate Expiration Date 11/10/2026
Facility Type Physician Office
Lab Director DR. SUSAN ANDERSEN

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